Most Relevant Information
Provider Data
| NPI Number: | 1003269390 |
| Provider Name: | TAYLOR WAY |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/21/2016 |
| Last Updated: | 07/21/2016 |
Provider Practice Location
1750 NEBRASKA AVE
GRANTS PASS
OR
975275700
Practice Location Phone/Fax
| Phone: | 5414763302 |
| Fax: |
Provider Mailing Location
715 SW RAMSEY AVE
GRANTS PASS
OR
975275500
Provider Mailing Phone/Fax
| Phone: | 5419564943 |
| Fax: |