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MR. KEN TAKENAKA ATC LAT OTC NPI 1326204348


NPI Information

NPI: 1326204348
Provider Name: MR. KEN TAKENAKA, ATC, LAT, OTC
Classification: Specialist/Technologist - 2255A2300X
Entity Type: Individual

Specialization: Athletic Trainer

Address:
11782 SW BARNES RD STE 300
PORTLAND, OR
ZIP 97225
Phone: (503) 214-5200
Get Directions

MR. Ken Takenaka, ATC, LAT, OTC is an athletic trainer specialist technologist in Portland, OR. The provider is athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. MR. Ken Takenaka, ATC, LAT, OTC NPI is 1326204348. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11782 SW BARNES RD STE 300
PORTLAND, OR
ZIP 97225-933
Phone: (503) 214-5200
Fax: (503) 906-6613

The enumeration date for this NPI number is 7/29/2008 and was last updated on 6/23/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1246ZX2200XSpecialist/Technologist, OtherOrthopedic Assistant050802325OREGONNo
22255A2300XSpecialist/TechnologistAthletic TrainerAT10145051OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ATAT10145051OTHEROREGONATC LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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