Individual provider · Type 1 NPI

Taylor Klaus-Vineyard, CADC, QMHP

Mental Health Counselor · Portland, OR

NPI number 1407249063 Active

Practice location

1427 SE 182nd Ave
Portland, OR 97233-5008

Call (503) 761-6006 Map

Fax (503) 761-1434

Mailing address

1027 E Burnside St
Portland, OR 97214-1328

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400X15-07-2-1 (OR)
Mental Health Counselor 101YM0800X10311 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XMC60593925 (WA)

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About NPI 1407249063

Taylor Klaus-Vineyard, CADC, QMHP's National Provider Identifier is 1407249063, issued on Mar 6, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on May 27, 2025.