Individual
MR. LANCE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
421 SE EVANS ST, MCMINNVILLE, OR 97128-6111
(503) 472-3141
Mailing address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15887
OR
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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