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NPI Code Detail

MEDICARE: RACHAEL EVONNE TAYLOR CPC

MEDICARE: RACHAEL EVONNE TAYLOR CPC
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
1175T00000XPeer SpecialistCG61044237WA

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 : 1932717030
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL EVONNE TAYLOR CPC
Provider Business Mailing Address
First Line : PO BOX 2394
Second Line :
City : LONGVIEW
State : WA
Zip : 98632
Country : US
Telephone Number : 360-200-5419
Fax Number : 360-200-6736
Provider Business Practice Location Address
First Line : 1126 S GOLD ST
Second Line :
City : CENTRALIA
State : WA
Zip : 98531-3768
Country : US
Telephone Number : 360-807-4929
Fax Number : 360-807-4160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2020
Last Update Date : 09/18/2023

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Directions to “ RACHAEL EVONNE TAYLOR CPC” Practice Location

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