Individual
ERIC WILLIAM TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12040 NE 128TH ST # 63, KIRKLAND, WA 98034-3013
(425) 899-1860
(425) 899-1859
Mailing address
12040 NE 128TH ST # MS 63, KIRKLAND, WA 98034-3013
(425) 899-1860
(425) 899-1859
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD00017949
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039587
LABOR & INDUSTRY
WA
01
—
3244TA
BLUE SHIELD
WA
05
—
8413106
—
WA
Enumeration date
08/21/2006
Last updated
07/21/2022
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