Individual
DR. THOMAS B TAYLOR III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC CCEP
Contact information
Practice address
109 SE 101ST AVE, VANCOUVER, WA 98664-3907
(360) 573-9669
(360) 573-0448
Mailing address
109 SE 101ST AVE, VANCOUVER, WA 98664-3907
(360) 573-9669
(360) 573-0448
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3222
OR
111N00000X
Chiropractor
Primary
3248
WA
111N00000X
Chiropractor
CHIA1042
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0113592
DEPT LABOR AND INDUSTRIES
WA
01
—
070109
REGENCE BC
—
01
—
1006336
AMERICAN SPECIALITY HLTH
—
01
—
112908
KAISER
—
Enumeration date
05/25/2006
Last updated
01/03/2012
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