Healthcare Provider Details

I. General information

NPI: 1518177864
Provider Name (Legal Business Name): JASON A TAYLOR MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 PIKE ST STE 1900
SEATTLE WA
98101-3932
US

IV. Provider business mailing address

3181 SW SAM JACKSON PARK RD L586
PORTLAND OR
97239-3011
US

V. Phone/Fax

Practice location:
  • Phone: 206-614-1200
  • Fax:
Mailing address:
  • Phone: 503-418-1051
  • Fax: 503-273-5158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberMD00042165
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: