ELIZABETH TATE NPI 1003626672

NPI Information

  • NPI: 1003626672
  • Provider Name: ELIZABETH TATE
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 5019 NE 102ND AVE UNIT A
    PORTLAND, OR
    ZIP 97220
  • Phone: (971) 383-1220

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NPI Details

Elizabeth Tate is a peer specialist in Portland, OR. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Elizabeth Tate NPI is 1003626672. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5019 NE 102ND AVE UNIT A
PORTLAND, OR
ZIP 97220-199
Phone: (971) 383-1220

The enumeration date for this NPI number is 1/7/2025 and was last updated on 1/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer Specialist23-CRM-2070OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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