Tate Marie Correll
DO | Pediatrics | Female
Tate Marie Correll, DO is a Portland, Oregon based Pediatric doctor with medical specialization in
General Pediatrics. Tate Marie Correll is also known as
Tate Marie Van Winkle.
Current practice location of Tate Marie Correll is
3181 Sw Sam Jackson Park Rd, Portland, Oregon - 97239-3098. She can be contacted on phone at
503-494-8211.
Tate Marie Correll is a sole proprietor of her business.
NPI number (Unique professional ID) for Tate Marie Correll is
1417416579 which was assigned by NPPES on 18 Mar, 2019 and it was last updated on 01 Jun, 2022.
Tate Marie Correll license number is
DO210186 for Pediatrics (208000000X) in Oregon.
Tate Marie Correll is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Tate Marie Correll basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Tate Marie Correll |
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| Other Name : | Tate Marie Van Winkle |
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| Credential : | DO |
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| Gender : | Female |
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Business Address:
Tate Marie Correll address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3181 Sw Sam Jackson Park Rd
Portland, OR, 97239-3098
United States |
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| Phone Number : | 503-494-8211 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1417416579 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Mar, 2019 |
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| Last Updated On : | 01 Jun, 2022 |
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Medicare Participation:
Tate Marie Correll participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3375872641 |
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| Medicare Enrollment ID : | I20220608001289 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Rocky Vista University College Of Osteopathic Med |
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| Graduation Year : | 2019 |
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| Accepts Medicare? | Yes. Tate Marie Correll accepts medicare insurance. |
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Group Practice Association:
Tate Marie Correll is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Tate Marie Correll is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Oregon Health And Sciences University/university Medical Group | 4880760107 | 1435 | 3181 Sw Sam Jackson Park Rd
Portland, OR - 972393011
Ph: 5034948311 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tate Marie Correll are as mentioned. Primary taxonomy code for Tate Marie Correll, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 208000000X | Pediatrics | Yes | DO210186 | OR |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3181 Sw Sam Jackson Park Rd
Portland, OR, 97239-3098
United States |
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| Phone Number : | 503-494-8211 |
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Business Location:
Patients can refer following map for directions to
Tate Marie Correll practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.