Active NPI
Nancy Takamune, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1124446380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5559
- Practice address
- 4004 SE Woodstock Blvd
Portland, OR 97202-7662 - Phone
- (503) 960-7174
- NPI assigned
- Apr 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5559 | OR | Primary |
Addresses
Primary practice location
4004 SE Woodstock Blvd
Portland, OR 97202-7662
Mailing address
2519 W Powell Blvd
Gresham, OR 97030-6413
Phone (503) 960-7174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5559 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452211200000",
"number": "1124446380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2519 W POWELL BLVD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970306413",
"telephone_number": "503-960-7174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 SE WOODSTOCK BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972027662",
"telephone_number": "503-960-7174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKAMUNE",
"first_name": "NANCY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-03",
"last_updated": "2016-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.