Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Tate

Individual provider Counselor · NPI 1053248138

Jason Tate is a Counselor in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2026.

Licensed in
OR
In the registry since
2026

Practice location Address checks out

1479 NW Mulholland Dr
Roseburg, OR 97470-1914
Phone: (541) 673-0190
Fax: (541) 957-9410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence R9278 (OR)

Record details

NPI number1053248138
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 5, 2026
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address1479 Nw Mulholland Dr, Roseburg, OR 97470-1914

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