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ELIZABETH TATE
NPI 1003626672
Peer Specialist in Portland, OR

Active since January 07, 2025
5019 NE 102ND AVE UNIT A, PORTLAND, OR 97220(971) 383-1220 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Tate NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH TATE (NPI 1003626672) is an individual peer specialist in Portland, Oregon, licensed in Oregon (23-CRM-2070) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1003626672
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameELIZABETH TATE
Location Address5019 NE 102ND AVE UNIT APortland, OR 97220-1199
Mailing Address232 Nw 6th AvePortland, OR 97209-3609
Phone(971) 383-1220
Sole ProprietorNo
Enumeration DateJanuary 7, 2025
NPPES CertifiedJanuary 7, 2025
✔ NPI 1003626672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 23-CRM-2070
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
5019 NE 102ND AVE UNIT A, Portland, OR 97220
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENJAMIN BROENEN
Peer Specialist
5019 NE 102ND AVE UNIT A
PORTLAND, OR 97220
Multnomah County (971) 383-1220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Tate's NPI number?

The NPI number for Elizabeth Tate is 1003626672. It was assigned to this individual provider in the NPPES registry on January 7, 2025.

Where is Elizabeth Tate located?

Elizabeth Tate practices at 5019 NE 102nd Ave Unit A, Portland, OR 97220. The listed phone number is (971) 383-1220.

What is Elizabeth Tate's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Tate was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.