Individual
MR. STEVEN MAX TAGGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17972 SW MCEWAN RD, PORTLAND, OR 97224-7218
(503) 352-3811
Mailing address
16125 SW MASON LN, BEAVERTON, OR 97006-5111
(503) 515-7344
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0009154
OR
Other
Enumeration date
09/17/2017
Last updated
09/17/2017
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