Most Relevant Information
Provider Data
| NPI Number: | 1003217795 |
| Provider Name: | TAYLOR CARLSTROM MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 5052 |
Most Important Dates
| Enumeration Date: | 09/12/2014 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
627 NE EVANS ST
MCMINNVILLE
OR
971283923
Practice Location Phone/Fax
| Phone: | 5034347523 |
| Fax: |
Provider Mailing Location
627 NE EVANS ST
MCMINNVILLE
OR
971283923
Provider Mailing Phone/Fax
| Phone: | 5034347523 |
| Fax: |