Individual
DONALD L. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE OP-02, PORTLAND, OR 97239-3011
(503) 494-8617
(503) 494-3282
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE OP-02, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
200241254RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200450026NP
OR
Other
Enumeration date
08/03/2006
Last updated
07/15/2007
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