Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jill Nicole Deymonaz Tate, SLP

Individual provider Speech-Language Pathologist · NPI 1487896155

Mrs. Jill Nicole Deymonaz Tate, SLP is a Speech-Language Pathologist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2009
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

4201 NE 80th Ave
Portland, OR 97218-4211
Phone: (503) 351-8599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 12604 (OR)

Record details

NPI number1487896155
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorYes
NPI enumeratedMarch 27, 2009
Last updated in NPPESMarch 27, 2009

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