Individual
CAROLYN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8113 SE 13TH AVE, PORTLAND, OR 97222
(503) 740-1584
Mailing address
8113 SE 13TH AVE, PORTLAND, OR 97222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11034
OR
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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