Healthcare Provider Details

I. General information

NPI: 1861944506
Provider Name (Legal Business Name): JAMES LIVINGSTON TAYLOR DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2016
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13327 SE MISTY DR STE 200
HAPPY VALLEY OR
97086-9309
US

IV. Provider business mailing address

7727 NE GLISAN ST
PORTLAND OR
97213-6360
US

V. Phone/Fax

Practice location:
  • Phone: 503-490-5647
  • Fax: 503-254-4749
Mailing address:
  • Phone: 503-490-5647
  • Fax: 503-254-4749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5762
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: