Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Taylor Suzanne Wahl, PA-C

Individual provider Physician Assistant · NPI 1003364191

Taylor Suzanne Wahl, PA-C is a Physician Assistant in San Luis Obispo, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1235 Osos St # 100
San Luis Obispo, CA 93401-3619
Phone: (805) 549-0888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2730 Sw Moody Ave # Cl5pa, Portland, OR 97201-5042 — (503) 494-3633

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA57177 (CA)
Physician Assistant Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003364191
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 16, 2016
Last updated in NPPESAugust 30, 2019

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