Individual
ANTHONY M TAITANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6932 SW WINDEMERE LOOP, PORTLAND, OR 97225-6163
(503) 297-5418
Mailing address
6932 SW WINDEMERE LOOP, PORTLAND, OR 97225-6163
(503) 297-5418
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD 11911
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228031
—
OR
Enumeration date
11/28/2005
Last updated
08/25/2014
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