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1215921374
JOHN TAKACS
PORTLAND, OR
NPI
1215921374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR DO15382)
Enumeration Date
2005-09-06
Last Update Date
2016-07-07
Business Address
-- JOHN TAKACS D.O.
5909 SE DIVISION ST
PORTLAND, OR 97206-1470
Phone number: 503-234-1531
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Mailing Address
-- JOHN TAKACS D.O.
5909 SE DIVISION ST
PORTLAND, OR 97206-1470
Phone number: 503-234-1531
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