Taylor, Peter Jack

Taylor, Peter Jack is an individual health care provider with primary practice located at 10202 Se 32Nd Ave Ste 701 , Milwaukie OR 97222-3625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Taylor, Peter Jack can be contacted via phone (503) 513-1410.

Contact Information

Primary practice address
10202 Se 32Nd Ave Ste 701 Milwaukie OR 97222-3625
Phone: (503) 513-1410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 005971 Arizona
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X DO154273 Oregon

Profile Details

NPI number 1124207436
LBN Legal business name Taylor, Peter Jack
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2007
Last updated Oct 6th, 2020 - about 6 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 1124207436 NPPES
Oregon MEDICAID 500645932

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