Avey, Tate

Avey, Tate is an individual health care provider with primary practice located at 3415 Se Powell Blvd , Portland OR 97202-3371. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Avey, Tate can be contacted via phone (480) 267-6998.

Contact Information

Primary practice address
3415 Se Powell Blvd Portland OR 97202-3371
Phone: (480) 267-6998
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1821718198
LBN Legal business name Avey, Tate
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2022
Last updated Sep 19th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821718198 NPPES
Oregon MEDICAID MI401P7W

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