Individual provider · Type 1 NPI

Susan Brooke Taylor, NP

Nurse Practitioner · Portland, OR

NPI number 1194763797 Active

Practice location

9427 SW Barnes Rd, Suite 395
Portland, OR 97225-6652

Fax (503) 216-2639

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X096006702N7 (OR)
Nurse Practitioner 363L00000XAP30004739 (WA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1194763797

Susan Brooke Taylor, NP's National Provider Identifier is 1194763797, issued on Jun 4, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Portland, OR. The record was last updated on Nov 9, 2012.