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1780026799
JEANNE RENEE TATE
PORTLAND, OR
NPI
1780026799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: OR 2820)
Enumeration Date
2013-07-19
Last Update Date
2022-06-23
Business Address
Dr. JEANNE RENEE TATE PsyD
1015 NW 22ND AVE
PORTLAND, OR 97210-3025
Phone number: 503-413-7151
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Mailing Address
Dr. JEANNE RENEE TATE PsyD
PO BOX 4037
PORTLAND, OR 97208-4037
Phone number: 503-413-4048
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