Tate Allen Waggoner is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Tate Allen Waggoner practices in Portland, OR and has the professional credentials of QMHP-R. The NPI Number for Tate Allen Waggoner is 1356058978 and holds a License No. 22-QMHP-R-1749 (Oregon).
The current practice location address for Tate Allen Waggoner is 1310 Sw 17Th Ave, Portland, OR and can be reached out via phone at 503-231-2641 and via fax at 503-467-4077.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500814541 | 05 | OR |
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