Individual provider · Type 1 NPI

Elizabeth Tate

Peer Specialist · Portland, OR

NPI number 1003626672 Active

Practice location

5019 NE 102nd Ave Unit A
Portland, OR 97220-1199

Call (971) 383-1220 Map

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X23-CRM-2070 (OR)

Peer Specialist: 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.

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About NPI 1003626672

Elizabeth Tate's National Provider Identifier is 1003626672, issued on Jan 7, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Jan 7, 2025.