Individual
TAYLOR WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1802 4TH ST STE A, LA GRANDE, OR 97850-2565
(541) 963-9632
Mailing address
1802 4TH ST STE A, LA GRANDE, OR 97850-2565
(541) 963-9632
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6229
OR
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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