LARRY TAYLOR (NPI# 1497243109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497243109 |
| Entity Type | Individual |
| Full Name | LARRY TAYLOR |
| Other Name | LAWRENCE TAYLOR |
| Credential | CRM/PSS/QMHA-I |
| Practice Address |
1438 Se Division St Portland OR 97202-1140 |
| Mailing Address |
1776 Sw Madison St Portland OR 97205-1715 |
| Practice Telephone | 5035480346 |
| Practice Fax Number | 5032325959 |
| Mailing Telephone | 5032241044 |
| Mailing Fax Number | 5036212235 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2019-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15-CRM-017 | OR | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
19-QMHA-I-00478 | OR | Behavioral Health & Social Service Providers |
| N | 175T00000X | Peer Specialist | THW000002408 | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500760853 | 05 | |
| OR | 500743133 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215232228 | Larry Taylor | Pharmacist | 52482 State Road 933, South Bend, IN 46637-3852 | 2011-01-21 |
| 1457505802 | Larry Taylor | Counselor | 2795 Ne Cleveland Ave, Gresham, OR 97030 | 2008-11-12 |
| 1457386609 | Larry Edward Taylor | Specialist | 1705 Forest Dr, Corbin, KY 40701-2354 | 2006-07-12 |
| 1528010139 | Larry R. Taylor | Nurse Anesthetist, Certified Registered | 2407 Wimbledon Dr, Arlington, TX 76017 | 2006-05-16 |
| 1770552077 | Larry Wayne Taylor | Family Medicine | 6554 Aaron Dr, Fairfield, AL 35214 | 2006-03-17 |
| 1518968577 | Larry J Taylor | Optometrist | 3031 Flint Hills Dr, Burlington, IA 52601-0696 | 2005-08-02 |
| 1225665946 | Larry Lee Taylor Jr. | Nurse Practitioner | 1805 Tift Ave N Ste D, Tifton, GA 31794-3579 | 2020-03-24 |
| 1255972667 | Larry Lee Taylor | Audiologist | 6535 N Charles St Ste 250, Baltimore, MD 21204-5829 | 2019-10-07 |
| 1326434945 | Larry James Taylor II | Occupational Therapist | 273 E Beverly Blvd, Montebello, CA 90640-3775 | 2015-04-09 |
| 1154742880 | Larry E Taylor | Psychologist | 10532 N Port Washington Rd, Mequon, WI 53092-5563 | 2013-12-24 |
| Street Address |
1438 SE DIVISION ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750370680 | Marcela J Vinocur | Psychiatry & Neurology | 1438 Se Division St, Portland, OR 97202-1140 | 2005-10-13 |
| 1699373324 | Ethan J Newcomb | Peer Specialist | 1438 Se Division St, Portland, OR 97202-1140 | 2020-10-14 |
| 1568079929 | Richard J Breunissen | Counselor | 1438 Se Division St, Portland, OR 97202-1140 | 2020-09-29 |
| 1881202067 | Shannon L Redmond | Counselor | 1438 Se Division St, Portland, OR 97202-1140 | 2020-07-14 |
| 1093338485 | Lindy D Resner | Counselor | 1438 Se Division St, Portland, OR 97202-1140 | 2020-05-20 |
| 1326678871 | Chandra K Wilson | Counselor | 1438 Se Division St, Portland, OR 97202-1140 | 2020-01-23 |
| 1235789314 | Kirsten R Farmer | Counselor | 1438 Se Division St, Portland, OR 97202-1140 | 2019-09-19 |
| 1992366652 | Viola Kaye Rogers | Counselor | 1438 Se Division St, Portland, OR 97202-1140 | 2019-06-24 |
| 1194289520 | Jackson D Gambee | Counselor | 1438 Se Division St, Portland, OR 97202-1140 | 2019-01-30 |
| 1063983435 | Natalie J Thomas | Counselor | 1438 Se Division St, Portland, OR 97202-1140 | 2018-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1851916886 | Jonathan Cross | Counselor | 49 Montrose Ave Apt 3, Portland, ME 04103-2442 | 2020-06-16 |
| 1639703960 | Elizabeth Ann Anderson | Counselor | 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 | 2020-02-25 |
| 1194356618 | Deforrest Kwesi Jackson | Counselor | 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 | 2020-02-03 |
| 1760012942 | Jesse Decker | Counselor | 7015 N Boston Ave, Portland, OR 97217-5711 | 2020-01-16 |
| 1740829076 | Ryan Christianson | Counselor | 2707 Ne Flanders St, Portland, OR 97232-3159 | 2020-01-03 |
| 1083264477 | Kayla Rose Paris | Counselor | 420 Cumberland Ave, Portland, ME 04101-2823 | 2019-09-17 |
| 1275193260 | Anna Khval | Counselor | 1500 Se 122nd Ave, Portland, OR 97233-1207 | 2019-06-20 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on LARRY TAYLOR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.