Individual
DR. MICHAEL CARL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2730 SW MOODY AVE, SCHOOL OF DENTISTRY, PORTLAND, OR 97201-5042
(503) 494-8948
Mailing address
2730 SW MOODY AVE, SCHOOL OF DENTISTRY, PORTLAND, OR 97201-5042
(503) 494-8948
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D9053
OR
1223G0001X
General Practice Dentistry
Primary
D9053
OR
Other
Enumeration date
11/08/2013
Last updated
07/22/2014
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