Individual
MS. BROOKE TAYLOR MEJORADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
801 MISSION ST SE, SALEM, OR 97302-6217
(503) 588-3945
Mailing address
7325 SE 46TH AVE, PORTLAND, OR 97206-8301
(209) 275-5951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA207447
OR
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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