Individual
JOHN TAKACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5909 SE DIVISION ST, PORTLAND, OR 97206-1470
(503) 234-1531
(503) 234-2367
Mailing address
5909 SE DIVISION ST, PORTLAND, OR 97206-1470
(503) 234-1531
(503) 234-2367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO15382
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048825002
BCBSO
OR
05
—
075562
—
OR
Enumeration date
09/06/2005
Last updated
08/18/2025
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