Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JODY H TATE, MD
Active Sole ProprietorJODY H TATE, MD is a Sports Medicine (IM) healthcare provider located in PORTLAND, Oregon. NPI 1740318815 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · PORTLAND, OR
Registration Details
- NPI Number
- 1740318815
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 1, 2007 (19.493941498551 yrs)
- Last Updated
- Oct 7, 2015
- Licenses
-
MD161713 (OR)MD60337788 (WA)MD161713 (OR)MD60337788 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2222 NW LOVEJOY STSUITE 411PORTLAND, OR, 972103033Browse OR providers · Browse ZIP 97210
- Phone
- 5034135702
- Fax
- 5034136499
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Pulmonary Disease
- Additional Specialty
- Sports Medicine (IM)
- Additional Specialty
- Sports Medicine (IM)
Other Sports Medicine (IM) Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DANIEL BRYAN ROOT | MD | 1194770370 |
| VIVEK DOGRA | M.D. | 1447293162 |
| AKRAM KHAN | M.D. | 1710993498 |
| DR. CHRISTIAN MARTIN MORALES | MD | 1669524864 |
| DR. RADHIKA SEKHRI BREADEN | MD | 1154462257 |
| VANESSA L PETERSON | MD | 1205958576 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.