Individual
MR. KYLAN WADE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
11 E 27TH AVE, EUGENE, OR 97405-3613
(541) 255-2681
(541) 255-2682
Mailing address
11 E 27TH AVE, EUGENE, OR 97405-3613
(541) 255-2681
(541) 255-2682
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15344
OR
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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