Individual
DR. PAULA ANN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2207 PORTLAND RD STE A, NEWBERG, OR 97132-1371
(503) 538-3277
Mailing address
2207 PORTLAND RD STE A, NEWBERG, OR 97132-1371
(503) 538-3277
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3200ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006222
—
OR
01
—
R138306
MEDICARE PTAN
OR
Enumeration date
10/11/2006
Last updated
09/17/2009
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