NPIMap

Taylor Koryn Brown

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Happy Valley, OR

NPI 1487399622 · NPPES record last updated Apr 3, 2024

Key facts

NPI
1487399622
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
10822 SE 82ND Ave
Happy Valley, OR 97086-7658
Phone
(503) 654-7444
Fax
(503) 654-0392
NPI assigned
May 2, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

  • Coda, Inc. Substance Abuse Rehabilitation Facility · Portland, OR · NPI 1437213865
    NPD ADDICTION (SUBSTANCE USE DISORDER)
  • Coda, Inc. Substance Use Disorder Rehabilitation Clinic/Center · Seaside, OR · NPI 1750912184
    NPD

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Coda, Inc. Current
since Apr 9, 2024		 Accepting new patients
Coda, Inc. Addiction (Substance Use Disorder) Current
since Apr 9, 2024		 Accepting new patients

Locations

1027 E Burnside St
Portland, OR 97214

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

10822 SE 82ND Ave
Happy Valley, OR 97086-7658

Mailing address

1027 E Burnside St
Portland, OR 97214-1328
Phone (503) 239-8400

Other providers in Happy Valley, OR

All providers in Happy Valley, OR · Addiction (Substance Use Disorder) Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.