Healthcare Provider Details

I. General information

NPI: 1508104175
Provider Name (Legal Business Name): RACHEL TAYLOR M.S., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2013
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2636 SE HARRISON ST STE B
MILWAUKIE OR
97222-7587
US

IV. Provider business mailing address

2636 SE HARRISON ST STE B
MILWAUKIE OR
97222-7587
US

V. Phone/Fax

Practice location:
  • Phone: 541-286-5330
  • Fax: 541-636-2453
Mailing address:
  • Phone: 541-286-5330
  • Fax: 541-636-2453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC6260
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: