Individual
JON KEVIN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1822 BLACK LAKE BLVD SW STE 103, NORTHWEST CHIROPRACTIC CENTER, OLYMPIA, WA 98512-5628
(360) 943-0988
(360) 943-8021
Mailing address
1822 BLACK LAKE BLVD SW STE 103, NORTHWEST CHIROPRACTIC CENTER, OLYMPIA, WA 98512-5628
(360) 943-0988
(360) 943-8021
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002244
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4881
LABOR & INDUSTRIES
WA
01
—
8921637
CRIME VICTIM
WA
Enumeration date
02/23/2007
Last updated
12/13/2012
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