Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 01053139 | IN |
Y | 207Q00000X | Family Doctor | MD154762 | OR |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD154762 | OR |
NPI | 1538261573 |
---|---|
Provider Name | Dr. Eriko Onishi |
First Address | Portland, OR 97239-4501 |
Second Address | Portland, OR 97239-4501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2006 |
Last Update Date | 01/11/2011 |