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General NPI Number Information
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NPI Number | 1619823747
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Entity Type | Organization
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Legal Business Name | TAYLORED NATURAL MEDICINE
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 16771 SW 12TH ST STE C
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City | SHERWOOD
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State | OR
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Zip | 97140-6024
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Country | US
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Telephone | 503-610-1194
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Fax |
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Provider Business Mailing Address
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Address Line | 16771 SW 12TH ST STE C
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City | SHERWOOD
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State | OR
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Zip | 97140-6024
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NATUROPATHIC DOCTOR
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Name | TAYLOR J MCSHANE
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Credential | ND, LAC
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Telephone | 541-788-0061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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