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Individual

JOEL MASAMI OYAMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
440 NW DIVISION ST, GRESHAM, OR 97030-5506
(503) 215-9500
Mailing address
440 NW DIVISION ST, GRESHAM, OR 97030-5506

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202101694NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500790037
OR
Enumeration date
02/27/2021
Last updated
07/07/2026
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