Healthcare Provider Details

I. General information

NPI: 1184756454
Provider Name (Legal Business Name): DR. LINDA A. TAYLOR ND, L.AC,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 01/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

846 COMMERCIAL ST SE
SALEM OR
97302-4108
US

IV. Provider business mailing address

846 COMMERCIAL ST SE
SALEM OR
97302-4108
US

V. Phone/Fax

Practice location:
  • Phone: 503-365-7700
  • Fax:
Mailing address:
  • Phone: 503-365-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC00244
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number0923
License Number StateOR

VIII. Authorized Official

Name: DR. LINDA A TAYLOR
Title or Position: PRESIDENT
Credential: ND, L.AC
Phone: 503-365-7700