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

Jonathan Michael Tate, MD

Individual provider Internal Medicine Physician · NPI 1164551172

Jonathan Michael Tate, MD is an Internal Medicine Physician in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone: (503) 413-8407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 161824 (OR)

Record details

NPI number1164551172
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 5, 2007
Last updated in NPPESSeptember 23, 2014
Mailing addressPo Box 3777, Portland, OR 97208-3777

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