Individual
MICHELLE JOLIE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 257-2500
Mailing address
4348 SE 31ST ST, GRESHAM, OR 97080-6418
(038) 288-8825
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
200741910RN
OR
Other
Enumeration date
12/11/2021
Last updated
12/11/2021
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