IndividualActive
Jeanne Tate, PSYD
NPI 1780026799 · Psychologist · Portland, OR
Provider details
- NPI number
- 1780026799
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- No
- License
- 2820 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1015 Nw 22nd Ave
Portland, OR 97210-3025
Phone: (503) 413-7151
Fax: (503) 413-8130
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4037
Portland, OR 97208-4037
Registry dates
- Enumerated
- 2013-07-19
- Last updated
- 2022-06-23
- Certified
- 2022-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.