TAYLOR JAY DELAMARTER

PORTLAND, OR
NPI1184002610
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  PG182916)
Additional Taxonomies208600000X Surgery
(Licence: OR  PG178008)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-05-17
Last Update Date2022-07-21
Business Address
-- TAYLOR JAY DELAMARTER D.O.
1200 NW 23RD AVE
PORTLAND, OR 97210-2906
Phone number: 503-413-7074
Mailing Address
-- TAYLOR JAY DELAMARTER D.O.
1200 NW 23RD AVE
PORTLAND, OR 97210
Phone number: 503-413-7074