Individual
MR. SCOTT J TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8435 SE 68TH ST STE 118, MERCER ISLAND, WA 98040-5249
(206) 232-7546
Mailing address
1793 13TH ST SE, SALEM, OR 97302-2541
(503) 362-8385
(503) 362-8435
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60122099
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134375421
GROUP NPI
WA
Enumeration date
11/14/2009
Last updated
04/02/2024
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