Taylor, Alice B

Taylor, Alice B is an individual health care provider with primary practice located at 29135 Ellensburg Ave , Gold Beach OR 97444. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Taylor, Alice B can be contacted via phone (541) 425-5311.

Contact Information

Primary practice address
29135 Ellensburg Ave Gold Beach OR 97444
Phone: (541) 425-5311
Fax: (541) 425-5577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 000031286N5 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 000031286N5 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X A000031286N5 Oregon

Profile Details

NPI number 1558347781
LBN Legal business name Taylor, Alice B
Credentials CNM NP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Apr 3rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558347781 NPPES
Oregon MEDICAID 172189
Oregon Other 1386069326
Oregon Other 381322
Oregon Other R179539

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