Individual
TATE ANTHONY HODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
4105 SE INTERNATIONAL WAY STE 501, MILWAUKIE, OR 97222-8855
(503) 496-3201
Mailing address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(503) 645-3581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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