Individual
DR. SHOUN N ISHIKAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2350 SW MULTNOMAH BLVD, SUITE H, PORTLAND, OR 97219-3999
(503) 246-2111
(503) 246-9827
Mailing address
2350 SW MULTNOMAH BLVD., SUITE H, PORTLAND, OR 97219
(503) 246-2111
(503) 246-9827
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4135
OR
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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