Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Taylor Beavers, PA

Individual provider Physician Assistant · NPI 1669194510

Taylor Beavers, PA is a Physician Assistant in Salem, Oregon. Qualified in 2022, 4 years ago. Practices with Clear Choice Dermatology, a 48-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1610 12th St SE
Salem, OR 97302-2821
Phone: (503) 905-9006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1669194510
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 16, 2022
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address3501 N Scottsdale Rd Ste 300, Scottsdale, AZ 85251-5638

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Clear Choice Dermatology — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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