Provider Demographics
NPI:1275258386
Name:SCOTT, TAYLOR (LM)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22416 128TH DR NE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-9518
Mailing Address - Country:US
Mailing Address - Phone:425-367-1815
Mailing Address - Fax:360-403-9747
Practice Address - Street 1:102 E HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1517
Practice Address - Country:US
Practice Address - Phone:425-367-1815
Practice Address - Fax:360-403-9747
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW61215050176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife