Individual
DR. TAYLOR ROEMELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3710 SW US VETERANS ROAD, PORTLAND, OR 97239
(503) 220-8262
Mailing address
3710 SW US VETERANS ROAD, PORTLAND, OR 97239
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11217
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Enumeration date
07/09/2019
Last updated
04/13/2021
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