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Organization
VICTOR N TAKLA MD LLC
Active
Organization
VICTOR N TAKLA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR N TAKLA MD (PRESIDENT)
(208) 667-6511
Entity
Organization
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(208) 667-6511
(208) 666-1642
Mailing address
4136 NW THUNDER CREST RD, PORTLAND, OR 97229-8028
(208) 667-6511
(208) 666-1642
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD15896
OR
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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