Individual
TAMARA TAKANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
1500 DIVISION ST, OREGON CITY, OR 97045-1527
(503) 656-1631
Mailing address
1500 DIVISION STREET, OREGON CITY, OR 97045
(503) 656-1631
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDD000066
OR
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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