TAYLOR KLAUS-VINEYARD

PORTLAND, OR
NPI1407249063
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  MC60593925)
Additional Taxonomies101Y00000X Counselor
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  15-07-2-1)
101YM0800X Counselor, Mental Health
(Licence: CA  10311)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-03-06
Last Update Date2025-05-27
Business Address
TAYLOR KLAUS-VINEYARD CADC, QMHP
1427 SE 182ND AVE
PORTLAND, OR 97233-5008
Phone number: 503-761-6006
Mailing Address
TAYLOR KLAUS-VINEYARD CADC, QMHP
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400