Individual
MS. SHALOMA ROSE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2314 NW KINGS BLVD STE A, CORVALLIS, OR 97330-3925
(541) 286-4030
Mailing address
4682 PACIFIC BLVD SW, ALBANY, OR 97321-7721
(541) 231-9432
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
202102089NP-PP
OR
363L00000X
Nurse Practitioner
Primary
202102089NP-PP
OR
363LF0000X
Family Nurse Practitioner
202106981NP-PP
OR
Other
Enumeration date
05/05/2021
Last updated
08/10/2023
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