IndividualActive
Jason Tate
NPI 1053248138 · Counselor · Roseburg, OR
Provider details
- NPI number
- 1053248138
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- R9278 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1479 Nw Mulholland Dr
Roseburg, OR 97470-1914
Phone: (541) 673-0190
Fax: (541) 957-9410
Approximate (ZIP-level) locationGet directions
Mailing address
1479 Nw Mulholland Dr
Roseburg, OR 97470-1914
Registry dates
- Enumerated
- 2026-05-05
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.