Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | MD27453 | OR |
NPI | 1134239197 |
---|---|
Provider Name | Matthew Hiram Taylor |
First Address | Portland, OR 97208-3158 |
Second Address | Portland, OR 97213-2933 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 16/02/2021 |