Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | DO19416 | OR |
NPI | 1497768964 |
---|---|
Provider Name | Dr. Yuri Hiranuma |
First Address | Portland, OR 97213-2747 |
Second Address | Portland, OR 97214-1424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 08/07/2007 |