Individual
KYLE B TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 251-6155
(503) 261-6769
Mailing address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 251-6155
(503) 261-6769
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101267473
VA
207P00000X
Emergency Medicine Physician
Primary
MD212925
OR
208M00000X
Hospitalist Physician
0101267473
VA
Other
Enumeration date
04/24/2015
Last updated
10/17/2022
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