Individual
ERIC TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
377 NW JASPER ST, DALLAS, OR 97338-1279
(503) 623-5581
Mailing address
722 POWELL ST E, MONMOUTH, OR 97361-1635
(850) 252-0665
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16736
OR
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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