Provider Demographics
NPI:1902395874
Name:TAYLOR, GRACE VIRGINIA (MA, PSYD)
Entity Type:Individual
Prefix:DR
First Name:GRACE
Middle Name:VIRGINIA
Last Name:TAYLOR
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Gender:F
Credentials:MA, PSYD
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Mailing Address - Street 1:2222 E POWELL BLVD
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97080-1365
Mailing Address - Country:US
Mailing Address - Phone:503-669-4300
Mailing Address - Fax:503-669-4301
Practice Address - Street 1:2222 E POWELL BLVD
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97080-1365
Practice Address - Country:US
Practice Address - Phone:503-669-4300
Practice Address - Fax:503-669-4301
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health