Individual
PETER TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSWA
Contact information
Practice address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(503) 645-3581
Mailing address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
A15578
OR
Other
Enumeration date
05/15/2024
Last updated
10/17/2024
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