Individual provider · Type 1 NPI

Larry Taylor, CRM/PSS/QMHA-I

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1497243109 Active

Practice location

1438 SE Division St
Portland, OR 97202-1140

Call (503) 548-0346 Map

Fax (503) 232-5959

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X19-QMHA-I-00478 (OR)
Peer Specialist 175T00000XTHW000002408 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15-CRM-017 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1497243109

Larry Taylor, CRM/PSS/QMHA-I's National Provider Identifier is 1497243109, issued on Apr 27, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Apr 17, 2019.