Individual
LEE ALAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3009
(503) 221-3424
(503) 221-3490
Mailing address
PO BOX 8500, LOCKBOX 7642, SHRINERS HOSPITAL FOR CHILDREN PORTLAND, PHILADELPHIA, PA 19178-7642
(813) 281-8115
(813) 281-8656
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD14690
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD14690
LICENSE
OR
Enumeration date
07/28/2006
Last updated
11/16/2012
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