Individual
FOUAD OTAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3303 SW BOND AVE STE 6D, PORTLAND, OR 97239-4501
(503) 494-4373
Mailing address
3303 SW BOND AVE STE 6D, PORTLAND, OR 97239-4501
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
60303
MN
207RG0100X
Gastroenterology Physician
Primary
MD184561
OR
Other
Enumeration date
07/08/2010
Last updated
02/06/2026
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