VICTOR N TAKLA MD LLC
Anesthesiologist Assistant at 22 Ave, Portland, OR

License number
Oregon MD15896
Category
Osteopathic Medicine
Type
Anesthesiology
Owner
Name: DR. VICTOR N TAKLA MD
Title: PRESIDENT
Phone: (208) 667-6511
Address
Address
1015 NW 22Nd Ave, Portland, OR 97210
National Provider ID: 1649413139
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about VICTOR N TAKLA MD LLC at bizstanding.com

VICTOR N. TAKLA, MD, LLC

Portland, OR

Industry:
Medical Doctor's Office
Doing business as:
Victor N. Takla, M.D. LLC
Registration:
May 26, 2015
Addresses:
4136 NW Thunder Crst Dr, Portland, OR 97229 (Mailing)
4136 NW Thunder Crst Rd, Portland, OR 97229
State ID:
111552493
Business type:
Domestic Limited Liability Company
Medical Doctor, President:
Victor N. Takla (Medical Doctor, President)
Agent:
Victor Takla,4136 NW Thunder Crst Dr, Portland, OR 97229 (Physical)

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