Individual
CHRISTINE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2318 NE MLK JR BLVD, PORTLAND, OR 97212-3715
(503) 752-1319
Mailing address
2318 NE MLK JR BLVD, PORTLAND, OR 97212-3715
(503) 752-1319
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
25-05-20574
OR
101YM0800X
Mental Health Counselor
Primary
C9429
OR
Other
Enumeration date
09/25/2021
Last updated
05/26/2025
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