Provider Demographics
NPI:1518177864
Name:TAYLOR, JASON A (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:A
Last Name:TAYLOR
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Gender:M
Credentials:MD, PHD
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Other - First Name:
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Mailing Address - Street 1:3181 SW SAM JACKSON PARK RD
Mailing Address - Street 2:L586
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3011
Mailing Address - Country:US
Mailing Address - Phone:503-418-1051
Mailing Address - Fax:503-273-5158
Practice Address - Street 1:3181 SW SAM JACKSON PARK RD
Practice Address - Street 2:L586
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3011
Practice Address - Country:US
Practice Address - Phone:503-418-1051
Practice Address - Fax:503-273-5158
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00042165207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology