Takenaka, Ken

Takenaka, Ken is an sole proprietor health care provider with primary practice located at 11782 Sw Barnes Rd Ste 300 , Portland OR 97225-5933. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Takenaka, Ken can be contacted via phone (503) 214-5200.

Contact Information

Primary practice address
11782 Sw Barnes Rd Ste 300 Portland OR 97225-5933
Phone: (503) 214-5200
Fax: (503) 906-6613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant 246ZX2200X 050802325 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT10145051 Oregon

Profile Details

NPI number 1326204348
LBN Legal business name Takenaka, Ken
Credentials ATC, LAT, OTC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2008
Last updated Jun 23rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326204348 NPPES
Oregon Other ATAT10145051 ATC LICENSE

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