Kamala Susan Taylor-Cline, MPH

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

THW000108667 Issued in OR

Practice address

9000 N Lombard St
Portland, OR 97203-3006

Phone

(503) 988-8147

Fax

(503) 988-5305

NPI assigned

Apr 12, 2023

Last updated

Apr 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1871289058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 N LOMBARD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972033006",
            "telephone_number": "503-988-8147",
            "fax_number": "503-988-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 N LOMBARD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972033006",
            "telephone_number": "503-988-8147",
            "fax_number": "503-988-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-CLINE",
        "first_name": "KAMALA",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "THW000108667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliot Trustin Taxman, ND, MS
• Ci an Gerald Tay
• David Tay, MD
• Taya Lindley
• Rely Tayag
• Theresa A Taylor-Libby, FNP
• Patricia Taylor-Young, PHD, RN FNP
• Aleks Riley Taylor, MA
• Amanda Taylor
• Ana Yelly Taylor

• Community Health Worker in Portland, OR
• Providers in Portland, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.