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NPI Code Detail

MEDICARE: ZOE JUDITH MILDRED TAYLOR MD

MEDICARE: ZOE JUDITH MILDRED TAYLOR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD60970312WA

General Provider Information

NPI Number : 1376074443
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZOE JUDITH MILDRED TAYLOR MD
Provider Business Mailing Address
First Line : 955 POWELL AVE SW
Second Line :
City : RENTON
State : WA
Zip : 98057-2908
Country : US
Telephone Number : 425-277-1311
Fax Number : 425-277-1566
Provider Business Practice Location Address
First Line : 26401 PACIFIC HWY S STE 101
Second Line :
City : DES MOINES
State : WA
Zip : 98198-9247
Country : US
Telephone Number : 206-870-3590
Fax Number : 206-824-1670
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2017
Last Update Date : 04/03/2026

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