ANDRE KEITH TATE

PORTLAND, OR
NPI1124230982
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  5285)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
Mr. ANDRE KEITH TATE PT
914 NW 13TH AVE
PORTLAND, OR 97209-3039
Phone number: 971-244-9000
Mailing Address
Mr. ANDRE KEITH TATE PT
1248 SE PINE ST
PORTLAND, OR 97214-1432
Phone number: 913-710-6467
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