LARRY TAYLOR CRM/PSS/QMHA-I
NPI 1497243109
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since April 27, 2018
1438 SE DIVISION ST, PORTLAND, OR 97202(503) 548-0346(503) 232-5959 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2019, Mar 20, 2019, Mar 12, 2019 and 1 more (4 updates tracked since 2018).

About Larry Taylor Crm/pss/qmha-i NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY TAYLOR CRM/PSS/QMHA-I (NPI 1497243109) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (15-CRM-017) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1497243109
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameLARRY TAYLORCredential: CRM/PSS/QMHA-I
Location Address1438 SE DIVISION STPortland, OR 97202-1140
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235
Fax(503) 232-5959
Sole ProprietorNo
Enumeration DateApril 27, 2018
Last NPPES UpdateApril 17, 20194 updates tracked since enumeration
NPI 1497243109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OR · 15-CRM-017
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 19-QMHA-I-00478 (OR)
Also ListedPeer SpecialistTaxonomy 175T00000X · License THW000002408 (OR)
1438 SE DIVISION ST, Portland, OR 97202

Other Names 1

Other Name (5)Lawrence Taylor Crm/pss/qmha-i

Other Identifiers 2

Medicaid500760853OR
Medicaid500743133OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
1438 SE DIVISION ST
PORTLAND, OR 97202
Counselor (Mental Health)
1438 SE DIVISION ST
PORTLAND, OR 97202
Social Worker (Clinical)
1438 SE DIVISION ST
PORTLAND, OR 97202
Social Worker (Clinical)
1438 SE DIVISION ST
PORTLAND, OR 97202
Counselor (Mental Health)
1438 SE DIVISION ST
PORTLAND, OR 97202
Peer Specialist
1438 SE DIVISION ST
PORTLAND, OR 97202
Counselor (Mental Health)
1438 SE DIVISION ST
PORTLAND, OR 97202
Counselor (Mental Health)
1438 SE DIVISION ST
PORTLAND, OR 97202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Taylor's NPI number?

The NPI number for Larry Taylor is 1497243109. It was assigned to this individual provider in the NPPES registry on April 27, 2018. The provider is also known as Lawrence Taylor Crm/Pss/Qmha-I.

Where is Larry Taylor located?

Larry Taylor practices at 1438 SE Division St, Portland, OR 97202. The listed phone number is (503) 548-0346.

What is Larry Taylor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Larry Taylor was last updated on April 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.