Individual
DR. YOSHIO OTAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5750
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
MD207503
OR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD207503
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500800624
—
OR
05
—
5915340
—
NC
Enumeration date
05/05/2008
Last updated
04/20/2026
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