Individual
JAMIE MERCILE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4310 N.E KILINGSWORTH, PORTLAND, OR 97218
(503) 535-1150
Mailing address
1910 SE STARK ST, APT#9, PORTLAND, OR 97214-1565
(503) 535-1150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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