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Tate Waggoner, QMHP-C
NPI 1356058978 · on the registry since 2022
Practice
- Address
- 1631 Sw Columbia St
Portland, OR 97201 - Phone
- (503) 231-2641
- Fax
- (503) 467-4077
- Organisation at this address
- Nara
Native American Rehabilitation Assoc IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 53
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon