| Dr Taloyo Llc | |
|
3000 Market St Plaza Ne Ste 426 Salem OR 97301-1894 | |
| (971) 304-7255 | |
| Not Available |
| Full Name | Dr Taloyo Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3000 Market St Plaza Ne Ste 426, Salem, Oregon |
| Authorized Official Name and Position | Carlos Taloyo (OWNER) |
| Authorized Official Contact | 9713047255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Taloyo Llc Po Box 4742 Salem OR 97302-8742 Ph: () - | Dr Taloyo Llc 3000 Market St Plaza Ne Ste 426 Salem OR 97301-1894 Ph: (971) 304-7255 |
| NPI Number | 1992270615 |
|---|---|
| Provider Enumeration Date | 10/09/2018 |
| Last Update Date | 10/25/2018 |
| Medicare PECOS PAC ID | 3971848953 |
|---|---|
| Medicare Enrollment ID | O20181219001767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992270615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carlos A Taloyo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043655426 PECOS PAC ID: 1456592781 Enrollment ID: I20130729000500 |
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