Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chameka I Taylor, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1104597525

Chameka I Taylor, NURSEPRACTITIONER is a Nurse Practitioner in Portland, Oregon. Qualified in 2024, 2 years ago. Practices with Fanno Creek Clinic LLC, a 24-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Tennessee.

Years since qualifying
2
Licensed in
OR, TN
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

5329 NE Mlk Jr Blvd
Portland, OR 97211-3237
Phone: (503) 988-5558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5821 Park Ave Unit 17742, Memphis, TN 38187-0090 — (901) 326-9472
  • 308 Lake Dr, Somerville, TN 38068-9716 — (731) 394-1145

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 202202706NP-PP (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 30579 (TN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 202202706NP-PP (OR)

Record details

NPI number1104597525
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedSeptember 24, 2021
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Fanno Creek Clinic Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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