Individual
DR. BARRY JOSEPH TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
611 SW CAMPUS DR, FACULTY DENTAL PRACTICE, ROOM 19, PORTLAND, OR 97239-3001
(503) 494-4316
Mailing address
611 SW CAMPUS DR, FACULTY DENTAL PRACTICE, ROOM 19, PORTLAND, OR 97239-3001
(503) 494-4316
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7119
OR
Other
Enumeration date
12/26/2006
Last updated
09/26/2012
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