DR. Jeremy Wade Taylor, O.D.

NPI #1700867983 in Newberg, Oregon

Provider Information

NPI Number: 1700867983
Entity Type: Individual
Name: DR. Jeremy Wade Taylor, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 7, 2005
Last Updated: Feb 7, 2008

Practice Location

Address: 2207 PORTLAND RD STE A
City: Newberg
State: Oregon
ZIP Code: 97132-1371
Phone: (503) 538-3277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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