Individual
MR. JASON PAUL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8122 SE TIBBETTS ST, PORTLAND, OR 97206-1768
(503) 777-5995
(503) 777-5995
Mailing address
8122 SE TIBBETTS ST, PORTLAND, OR 97206-1768
(503) 777-5995
(503) 777-8005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA167838
OR
Other
Enumeration date
10/05/2010
Last updated
03/29/2017
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