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NPI Code Detail

MEDICARE: BRYCE ANTHONY TAYLOR

MEDICARE: BRYCE ANTHONY TAYLOR
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
1225400000XRehabilitation Practitioner
2101YM0800XMental Health CounselorOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144574047
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYCE ANTHONY TAYLOR
Provider Business Mailing Address
First Line : 4950 NE BELKNAP CT STE 205
Second Line :
City : HILLSBORO
State : OR
Zip : 97124-5115
Country : US
Telephone Number : 503-560-5822
Fax Number :
Provider Business Practice Location Address
First Line : 4950 NE BELKNAP CT STE 205
Second Line :
City : HILLSBORO
State : OR
Zip : 97124-5115
Country : US
Telephone Number : 503-560-5822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2012
Last Update Date : 12/15/2021

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Directions to “ BRYCE ANTHONY TAYLOR ” Practice Location

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