person
Samantha K Taylor, CADCI/QMHA
Addiction (Substance Use Disorder) Counselor in Gresham, Oregon
NPI 1821580515

Samantha K Taylor is an Addiction (Substance Use Disorder) Counselor based in Milwaukie, OR and is specialized in Addiction (Substance Use Disorder). Samantha K Taylor practices in Gresham, OR and has the professional credentials of CADCI/QMHA. The NPI Number for Samantha K Taylor is 1821580515 and holds a License No. T-18-122 (Oregon).

The current practice location address for Samantha K Taylor is 620 Ne 2Nd St, Gresham, OR and can be reached out via phone at 971-274-3757 and via fax at 503-912-5740.

Location: 620 Ne 2Nd St, Gresham, OR, 97222-2184
person
Provider Profile Details
NPI Number
1821580515
Provider Name
Samantha K Taylor
Credential
CADCI/QMHA
Provider Entity Type
Individual
Gender
Female
Address
620 Ne 2Nd St, Gresham, OR, 97222-2184
Phone Number
971-274-3757
Fax Number
503-912-5740
Provider Enumeration Date
05/30/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500744091 05 OR
500746027 05 OR
institution
Provider Business Practice Location Address Details
Address
620 Ne 2Nd St
City
State
Zip
97030
Phone Number
971-274-3757
Fax Number
503-912-5740
person
Provider Business Mailing Address Details
Address
620 Ne 2Nd St
City
State
Zip
97030
Phone Number
971-274-3757
Fax Number
503-912-5740
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(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.
T-18-122 (Oregon)
Definition
Definition to come...
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