Individual
TAYLOR SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N GRAHAM ST STE 375, PORTLAND, OR 97227-2001
(503) 413-1600
Mailing address
501 N GRAHAM ST STE 375, PORTLAND, OR 97227-2001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10172369
OR
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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