Individual
BETTY KAY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NMNP
Contact information
Practice address
940 ROYAL AVE, STE 350, MEDFORD, OR 97504-6193
(541) 732-7460
(541) 732-7461
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-7460
(541) 732-7461
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000039359N5-NMNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162396
—
OR
Enumeration date
12/05/2006
Last updated
09/24/2014
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