Provider Demographics
NPI:1992932321
Name:TAYLOR, EMILY M (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:M
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:M
Other - Last Name:CUNNINGHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:438 SW VALERIA VIEW DR
Mailing Address - Street 2:APARTMENT 203
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-7072
Mailing Address - Country:US
Mailing Address - Phone:503-412-8066
Mailing Address - Fax:
Practice Address - Street 1:438 SW VALERIA VIEW DR
Practice Address - Street 2:APARTMENT 203
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-7072
Practice Address - Country:US
Practice Address - Phone:503-412-8066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1023177225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist