Individual
DR. SYLAS TAKAMUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2519 W POWELL BLVD, GRESHAM, OR 97030-6413
(971) 258-4607
Mailing address
2519 W POWELL BLVD, GRESHAM, OR 97030-6413
(971) 258-4607
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5588
OR
Other
Enumeration date
09/30/2014
Last updated
10/03/2014
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