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NPI Profile for Dr LARRY TAYLOR in GRESHAM, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X |
| NPI # | 1457505802 |
|
| Status | Active | |
| Credentials | D.MIN. | |
| Entity | Individual | |
| Enumeration date | 11/12/2008 | |
| Last updated | 11/12/2008 - About 18 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LARRY TAYLOR
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LARRY TAYLOR, D.MIN.