JONATHAN MICHAEL TATE

PORTLAND, OR
NPI1164551172
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  161824)
Enumeration Date2007-03-05
Last Update Date2014-09-23
Business Address
-- JONATHAN MICHAEL TATE MD
2801 N GANTENBEIN AVE
PORTLAND, OR 97227-1623
Phone number: 503-413-8407
Mailing Address
-- JONATHAN MICHAEL TATE MD
PO BOX 3777
PORTLAND, OR 97208-3777
Phone number: 503-413-8407
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