Provider Demographics
NPI:1164262234
Name:NARAYANAN, TAYLOR LARSON (CCC-SLP)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:LARSON
Last Name:NARAYANAN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:LARSON
Other - Last Name:BROWNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1525 SE 44TH AVE APT 307
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97215-3176
Mailing Address - Country:US
Mailing Address - Phone:503-886-9405
Mailing Address - Fax:
Practice Address - Street 1:15840 SE TAYLOR ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97233-3239
Practice Address - Country:US
Practice Address - Phone:503-762-3207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR16921235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist