Individual
MS. KRISTI A TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
1698 E MCANDREWS RD STE 400, MEDFORD, OR 97504-5590
(541) 732-7400
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-7400
(757) 874-7525
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
0024176944
VA
363LW0102X
Women's Health Nurse Practitioner
Primary
202007158NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500784776
—
OH
Enumeration date
11/05/2016
Last updated
01/29/2021
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