Most Relevant Information
Provider Data
| NPI Number: | 1003468265 |
| Provider Name: | TAYLOR ROEMELT DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/09/2019 |
| Last Updated: | 04/13/2021 |
Provider Practice Location
3710 SW US VETERANS ROAD
PORTLAND
OR
97239
Practice Location Phone/Fax
| Phone: | 5032208262 |
| Fax: |
Provider Mailing Location
3710 SW US VETERANS ROAD
PORTLAND
OR
97239
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |