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

Mallary-Marie Quinn Tate

Individual provider Counselor · NPI 1508733999

Mallary-Marie Quinn Tate is a Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

3415 SE Powell Blvd
Portland, OR 97202-3371
Phone: (503) 234-9591
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (OR)

Record details

NPI number1508733999
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 20, 2025
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025

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