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General NPI Number Information
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NPI Number | 1750053823
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Entity Type | Individual
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Provider Name | TAYTS LINDSEY SCOTT CADC IICRMPSSQMHA-I
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Gender | Female
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Dates
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Enumeration Date | 09/28/2021
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 3580 SE 82ND AVE
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City | PORTLAND
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State | OR
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Zip | 97266-2902
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Country | US
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Telephone | 971-339-9240
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Fax |
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Provider Business Mailing Address
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Address Line | 1776 SW MADISON ST
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City | PORTLAND
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State | OR
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Zip | 97205-1715
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Country | US
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Telephone | 503-224-1044
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Fax | 503-621-2235
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 20-CRM-116
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 22-QMHA-I-003368
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | THW000104089
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 23-03-20254
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License Number State | OR
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