Individual
TRAVIS LEE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM II, CADC-R
Contact information
Practice address
8940 SE 72ND AVE, PORTLAND, OR 97206-9417
(971) 419-0076
Mailing address
8940 SE 72ND AVE, PORTLAND, OR 97206-9417
(971) 419-0076
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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