Healthcare Provider Details

I. General information

NPI: 1639577125
Provider Name (Legal Business Name): BAILEY TAYLOR CPM, LDM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2014
Last Update Date: 10/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3111 SANTIAM HWY SE STE H
ALBANY OR
97322-5105
US

IV. Provider business mailing address

2532 SANTIAM HWY SE # 314
ALBANY OR
97322-5211
US

V. Phone/Fax

Practice location:
  • Phone: 541-730-9161
  • Fax:
Mailing address:
  • Phone: 541-928-1002
  • Fax: 541-981-2072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: