Individual
NICHOLAS TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 813-2000
Mailing address
3570 S RIVER PKWY UNIT 1605, PORTLAND, OR 97239-4544
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD198294
OR
Other
Enumeration date
05/05/2017
Last updated
10/21/2021
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