Individual
DR. OSAMU H MATSUTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3260 PROVIDENCE DR, C TOWER, SUITE 537, ANCHORAGE, AK 99508-4661
(907) 212-2673
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
1905
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010889
—
AK
Enumeration date
07/19/2006
Last updated
10/01/2020
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