Organization
PARADOXOS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TRAVIS TAYLOR LPC (OWNER)
(503) 602-7075
Entity
Organization
Contact information
Practice address
1193 ROYVONNE AVE SE STE 11, SALEM, OR 97302-6501
(503) 602-7075
Mailing address
1193 ROYVONNE AVE SE STE 11, SALEM, OR 97302-6501
(503) 602-7075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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