Individual
KRISTI TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC 1
Contact information
Practice address
753 SE MAIN ST, ROSEBURG, OR 97470-3938
(541) 671-0300
Mailing address
2001 WEAVER RD, MYRTLE CREEK, OR 97457-8668
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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