Healthcare Provider Details

I. General information

NPI: 1629929005
Provider Name (Legal Business Name): CALI MARIE TAGGART
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2026
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 SE 15TH ST
PENDLETON OR
97801-3254
US

IV. Provider business mailing address

4607 SW PERKINS AVE
PENDLETON OR
97801-3751
US

V. Phone/Fax

Practice location:
  • Phone: 541-276-5433
  • Fax:
Mailing address:
  • Phone: 971-217-3101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: