Individual
MICHAEL CASEY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
604 OAKESDALE AVE SW STE 102, RENTON, WA 98057-5204
(253) 372-7960
(253) 372-7965
Mailing address
11830 SE 219TH PL, KENT, WA 98031-3926
(801) 556-6884
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61395431
WA
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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