IndividualActive
Tate Waggoner, QMHP-C
NPI 1356058978 · Mental Health Counselor · Portland, OR
Tate Waggoner, QMHP-C is a Mental Health Counselor provider in Portland, OR (NPI 1356058978).
Provider details
- NPI number
- 1356058978
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- QMHP-C
- Sex
- Male
- Sole proprietor
- No
- License
- 25-QMHP-C-001612 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1631 Sw Columbia St
Portland, OR 97201-6025
Phone: (503) 231-2641
Fax: (503) 467-4077
Street-level locationGet directions
Mailing address
211 Se Caruthers St
Portland, OR 97214-4502
Registry dates
- Enumerated
- 2022-11-02
- Last updated
- 2025-03-06
- Certified
- 2025-03-06
Frequently asked questions
- What is Tate Waggoner's NPI number?
- Tate Waggoner's National Provider Identifier (NPI) is 1356058978, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tate Waggoner's specialty?
- Tate Waggoner is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Tate Waggoner located?
- Tate Waggoner's practice location on file with NPPES is 1631 Sw Columbia St, Portland, OR 97201-6025.
- What is Tate Waggoner's phone number?
- The practice phone number listed in the NPPES registry for Tate Waggoner is (503) 231-2641.
- Is Tate Waggoner's NPI active?
- Yes — Tate Waggoner's NPI (1356058978) is active in the NPPES registry as of the last update on 2025-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.