Takacs, John
Takacs, John is an sole proprietor health care provider with primary practice located at 5909 Se Division St , Portland OR 97206-1470. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Takacs, John can be contacted via phone (503) 234-1531.Contact Information
Primary practice address
5909 Se Division St
Portland OR 97206-1470
Phone: (503) 234-1531
Fax: (503) 234-2367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO15382 | Oregon |
Profile Details
| NPI number | 1215921374 |
|---|---|
| LBN Legal business name | Takacs, John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Aug 18th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215921374 | NPPES |
| Oregon | MEDICAID | 075562 | |
| Oregon | Other | 048825002 |
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