Provider Demographics
NPI:1639577125
Name:TAYLOR, BAILEY (CPM, LDM)
Entity Type:Individual
Prefix:
First Name:BAILEY
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:CPM, LDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2532 SANTIAM HWY SE # 314
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97322-5211
Mailing Address - Country:US
Mailing Address - Phone:541-928-1002
Mailing Address - Fax:541-981-2072
Practice Address - Street 1:3111 SANTIAM HWY SE STE H
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97322-5105
Practice Address - Country:US
Practice Address - Phone:541-730-9161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-15
Last Update Date:2018-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty