Individual
SAMANTHA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1021 NE 6TH ST, GRANTS PASS, OR 97526-1113
(541) 507-1881
(541) 507-1560
Mailing address
3063 DELTA WATERS RD, MEDFORD, OR 97504-5834
(707) 208-9425
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA209982
OR
Other
Enumeration date
06/14/2022
Last updated
02/05/2025
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