Ken Takenaka, ATC, LAT, OTC

NPI 1326204348 · on the registry since 2008 · sole proprietor

Practice

Address: 11782 Sw Barnes Rd Ste 300
Portland, OR 97225
Phone: (503) 214-5200
Fax: (503) 906-6613
Organisation at this address: Css Jv, Llc
Limelight Group
Dale L Nunez Md Pc
Thelma Jean Mays Md Pc
Michael D Moneta Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 91

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Also registered as: Orthopedic Assistant
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-06-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon