Individual
CHAMEKA I TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5329 NE MLK JR BLVD, PORTLAND, OR 97211-3237
(503) 988-5558
Mailing address
PO BOX 17742, MEMPHIS, TN 38187-0742
(901) 326-9472
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202202706NP-PP
OR
363LF0000X
Family Nurse Practitioner
30579
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
202202706NP-PP
OR
Other
Enumeration date
09/24/2021
Last updated
07/10/2025
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