Individual
JACKSON TAYLOR BARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-5472
(541) 768-4906
Mailing address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-5472
(541) 768-4906
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
PG216044
OR
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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