Provider Demographics
NPI:1952501041
Name:TAYLOR, SHARRON ELAINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:SHARRON
Middle Name:ELAINE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20775 SW HILLSBORO HWY
Mailing Address - Street 2:
Mailing Address - City:NEWBERG
Mailing Address - State:OR
Mailing Address - Zip Code:97132-9412
Mailing Address - Country:US
Mailing Address - Phone:503-628-3157
Mailing Address - Fax:
Practice Address - Street 1:20775 SW HILLSBORO HWY
Practice Address - Street 2:
Practice Address - City:NEWBERG
Practice Address - State:OR
Practice Address - Zip Code:97132-9412
Practice Address - Country:US
Practice Address - Phone:503-628-3157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse