Ken Takenaka is a Athletic Trainer in Portland, Oregon. Ken Takenaka practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Ken Takenaka is 1326204348. The last update date is 2023-06-23.
Ken Takenaka's current location address is 11782 Sw Barnes Rd Ste 300, Portland, Oregon. You can contact this provider via phone number 5032145200 and fax number 5039066613. The mailing address for Ken Takenaka is 11782 Sw Barnes Rd Ste 300, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ken Takenaka |
|---|---|
| Address | 11782 Sw Barnes Rd Ste 300, Portland, Oregon |
| Phone Number | 5032145200 |
| Fax Number | 5039066613 |
| Sole Proprietor | Y |
| Credentials | ATC, LAT, |
NPI Number Detail
| NPI Number | 1326204348 |
|---|---|
| Provider Enumeration Date | 2008-07-29 |
| Last Updated Date | 2023-06-23 |
Provider Mailing Address Detail
| Address | 11782 Sw Barnes Rd Ste 300 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972255933 |
| Phone Number | 5032145200 |
| Fax Number | 5039066613 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | AT10145051 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ATAT10145051 | OR | ATC LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ken Takenaka by the Centers for Medicare & Medicaid Services?
The Ken Takenaka has been issued the NPI (National Provider Identifier) 1326204348, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Ken Takenaka located?
The Ken Takenaka is located at 11782 Sw Barnes Rd Ste 300, Portland, OR 972255933.
What is the area of specialization for Ken Takenaka, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ken Takenaka is Athletic Trainer, and the corresponding taxonomy code that categorizes this area of expertise is 2255A2300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1326204348 to Ken Takenaka?
The Ken Takenaka received its 1326204348 assignment from the Centers for Medicare & Medicaid Services on 2008-07-29.
When was the information pertaining to Ken Takenaka most recently updated or revised?
The details related to Ken Takenaka, including its address, specialty, and other relevant information, were last updated or revised on 2023-06-23.
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