Individual
TERRA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7405 SW TECH CENTER DR STE 100, TIGARD, OR 97223-8056
(503) 734-7764
(503) 296-2657
Mailing address
7405 SW TECH CENTER DR STE 100, TIGARD, OR 97223-8056
(503) 734-7764
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BAP-E-10264979
OR
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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