Most Relevant Information
Provider Data
| NPI Number: | 1003522343 |
| Provider Name: | CORI D TAYLOR |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/30/2023 |
| Last Updated: | 01/30/2023 |
Provider Practice Location
1818 E REZANOF DR
KODIAK
AK
996156505
Practice Location Phone/Fax
| Phone: | 9074812400 |
| Fax: | 9074812419 |
Provider Mailing Location
PO BOX 3290
PORTLAND
OR
972083290
Provider Mailing Phone/Fax
| Phone: | 8669071068 |
| Fax: | 4259179141 |