Individual
MS. ALISON KAY TAKEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
435 LANCASTER DR NE, SALEM, OR 97301-4729
(503) 585-6388
Mailing address
6707 SW 14TH AVE, PORTLAND, OR 97219-2017
(503) 309-6701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200350069NP FNP-PP
OR
Other
Enumeration date
09/15/2008
Last updated
01/05/2012
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