Individual
MR. SAMUEL GALE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-1111
Mailing address
1700 E 19TH ST, THE DALLES, OR 97058-3317
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD24626
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227357
—
OR
05
—
8361636
—
WA
01
—
P0049266
MEDICARE RAIL ROAD
—
Enumeration date
03/09/2006
Last updated
07/14/2014
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