Individual
BRYCE ANTHONY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4950 NE BELKNAP CT STE 205, HILLSBORO, OR 97124-5115
(503) 560-5822
Mailing address
4950 NE BELKNAP CT STE 205, HILLSBORO, OR 97124-5115
(503) 560-5822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OR
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326482563
—
OR
Enumeration date
10/31/2012
Last updated
12/15/2021
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