Provider Demographics
NPI:1336235423
Name:TAYLOR, HOWARD SCOTT (MD)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:SCOTT
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10101 SE MAIN ST
Mailing Address - Street 2:SUITE 2004
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97216-2468
Mailing Address - Country:US
Mailing Address - Phone:503-256-3034
Mailing Address - Fax:503-256-3055
Practice Address - Street 1:10101 SE MAIN ST
Practice Address - Street 2:SUITE 2004
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97216-2468
Practice Address - Country:US
Practice Address - Phone:503-256-3034
Practice Address - Fax:503-256-3055
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD186442084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR059555Medicaid
ORF69942Medicare UPIN
OR059555Medicaid