Individual
ROBERT TAYLOR ENSIGN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A
Contact information
Practice address
2410 SE 121ST AVE, PORTLAND, OR 97216-4066
(503) 335-5975
(503) 335-5974
Mailing address
2410 SE 121ST AVE, PORTLAND, OR 97216-4066
(503) 335-5975
(503) 335-5974
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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