Individual
TAYLOR L ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 1173, WILSONVILLE, OR 97070-1173
(386) 218-8748
Mailing address
PO BOX 1173, WILSONVILLE, OR 97070-1173
(386) 218-8748
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10063392
OR
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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