Taylor, Samuel Gale
Taylor, Samuel Gale is an individual health care provider with primary practice located at 1700 E 19Th St , The Dalles OR 97058-3317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Taylor, Samuel Gale can be contacted via phone (541) 296-1111.Contact Information
Primary practice address
1700 E 19Th St
The Dalles OR 97058-3317
Phone: (541) 296-1111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | MD24626 | Oregon |
Profile Details
| NPI number | 1619945219 |
|---|---|
| LBN Legal business name | Taylor, Samuel Gale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Jul 14th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619945219 | NPPES |
| Oregon | MEDICAID | 227357 | |
| Oregon | Other | P0049266 | |
| Oregon | MEDICAID | 8361636 |
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