EDWARD TAYLOR P.A.C. NPI 1699790022

NPI Information

  • NPI: 1699790022
  • Provider Name: EDWARD TAYLOR, P.A.C.
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 920 SW RANGE DR
    WALDPORT, OR
    ZIP 97394
  • Phone: (541) 563-3197

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NPI Details

Edward Taylor, P.A.C. is a medical physician assistant in Waldport, OR. Edward Taylor, P.A.C. NPI is 1699790022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

920 SW RANGE DR
WALDPORT, OR
ZIP 97394-634
Phone: (541) 563-3197

The NPI 1699790022 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 2/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA10004205WASHINGTONNo
2363AM0700XPhysician AssistantMedicalPA01115OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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