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1649413139
VICTOR N TAKLA MD LLC
PORTLAND, OR
NPI
1649413139
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Entity Type
Organization
Authorized Contact
VICTOR N TAKLA
President
208-667-6511
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: OR MD15896)
Enumeration Date
2009-04-13
Last Update Date
2009-04-13
Business Address
VICTOR N TAKLA MD LLC
1015 NW 22ND AVE
PORTLAND, OR 97210-3025
Phone number: 208-667-6511
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Mailing Address
VICTOR N TAKLA MD LLC
4136 NW THUNDER CREST RD
PORTLAND, OR 97229-8028
Phone number: 208-667-6511
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