Individual
TAYTEM ELIZABETH BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 HILL ST SE, ALBANY, OR 97322-6711
(541) 967-6580
(541) 919-0033
Mailing address
PO BOX 844, ALBANY, OR 97321-0305
(541) 967-6580
(541) 919-0033
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14-1872327
—
OR
Enumeration date
01/20/2023
Last updated
01/20/2023
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