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Larry Taylor, CRM/PSS/QMHA-I
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1497243109

Larry Taylor is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Larry Taylor practices in Portland, OR and has the professional credentials of CRM/PSS/QMHA-I. The NPI Number for Larry Taylor is 1497243109 and holds a License No. 19-QMHA-I-00478 (Oregon).

The current practice location address for Larry Taylor is 1438 Se Division St, Portland, OR and can be reached out via phone at 503-548-0346 and via fax at 503-232-5959.

Location: 1438 Se Division St, Portland, OR, 97205-1715
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Provider Profile Details
NPI Number
1497243109
Provider Name
Larry Taylor
Credential
CRM/PSS/QMHA-I
Provider Entity Type
Individual
Gender
Male
Address
1438 Se Division St, Portland, OR, 97205-1715
Phone Number
503-548-0346
Fax Number
503-232-5959
Provider Enumeration Date
04/27/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500760853 05 OR
500743133 05 OR
institution
Provider Business Practice Location Address Details
Address
1438 Se Division St
City
State
Zip
97202-1140
Phone Number
503-548-0346
Fax Number
503-232-5959
person
Provider Business Mailing Address Details
Address
1438 Se Division St
City
State
Zip
97202-1140
Phone Number
503-548-0346
Fax Number
503-232-5959
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15-CRM-017 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
THW000002408 (Oregon)
Definition
Definition to come...
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Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
19-QMHA-I-00478 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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