Individual
TAYLOR L FLOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6601 NE 78TH CT STE A3, PORTLAND, OR 97218-2823
(971) 361-0798
Mailing address
6601 NE 78TH CT STE A3, PORTLAND, OR 97218-2823
(503) 252-3949
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202000977LPN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7576176
OREGON DMV
OR
Enumeration date
11/24/2021
Last updated
11/24/2021
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