Healthcare Provider Details

I. General information

NPI: 1770305484
Provider Name (Legal Business Name): TAYLOR K GARR JONES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAYLOR GARR-JONES FNP-C

II. Dates (important events)

Enumeration Date: 10/25/2024
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1312 NW 18TH ST
REDMOND OR
97756-8190
US

IV. Provider business mailing address

1312 NW 18TH ST
REDMOND OR
97756-8190
US

V. Phone/Fax

Practice location:
  • Phone: 541-633-0995
  • Fax:
Mailing address:
  • Phone: 541-633-0995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10034642
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: