Mr. Ken Takenaka, ATC, LAT, OTC
Mr. Ken Takenaka, ATC, LAT, OTC is an Orthopedic Assistant in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
11782 SW Barnes Rd Ste 300Portland, OR 97225-5933
Phone: (503) 214-5200
Fax: (503) 906-6613
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence AT10145051 (OR) |
|---|---|
| Orthopedic Assistant | Taxonomy 246ZX2200X · Licence 050802325 (OR) |
Record details
| NPI number | 1326204348 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ATC , LAT , OTC |
| Sole proprietor | Yes |
| NPI enumerated | July 29, 2008 |
| Last updated in NPPES | June 23, 2023 |
| Certification date | June 23, 2023 |