Individual
CARTER TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
35 S G ST, LAKEVIEW, OR 97630-1817
(541) 947-6021
(541) 219-8114
Mailing address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 947-6021
(541) 219-8114
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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