Individual
TAYLOR NIKOLE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 NE HOOD AVE OFC B, GRESHAM, OR 97030-7303
(503) 208-5288
Mailing address
501 NE HOOD AVE OFC B, GRESHAM, OR 97030-7303
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/13/2020
Last updated
11/28/2024
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