Individual provider · Type 1 NPI

Bryan Tate Virgil, CADC-R

Addiction (Substance Use Disorder) Counselor · Hermiston, OR

NPI number 1366395477 Active

Practice location

32773 W Walls Rd
Hermiston, OR 97838-6364

Call (541) 720-4679 Map

Fax (888) 977-2106

Mailing address

32405 Diagonal Rd
Hermiston, OR 97838-7503

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-26-6367 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1366395477

Bryan Tate Virgil, CADC-R's National Provider Identifier is 1366395477, issued on Feb 18, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hermiston, OR. The record was last updated on Feb 18, 2026.