Provider Demographics
NPI:1982403598
Name:YAMAMOTO, TAKAYUKI
Entity type:Individual
Prefix:
First Name:TAKAYUKI
Middle Name:
Last Name:YAMAMOTO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 NE 131ST PL
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97230-2517
Mailing Address - Country:US
Mailing Address - Phone:971-224-9721
Mailing Address - Fax:
Practice Address - Street 1:419 NE 131ST PL
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-2517
Practice Address - Country:US
Practice Address - Phone:971-224-9721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-08
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter