Individual
MR. TOSHINORI FUKUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
OHSU DIAGNOSTIC RADIOLOGY L340, 3181 SW SAM JACKSON PARK ROAD, PORTLAND, OR 97239
(503) 494-4511
Mailing address
OHSU DIAGNOSTIC RADIOLOGY L340, 3181 SW SAM JACKSON PARK ROAD, PORTLAND, OR 97239
(503) 494-4511
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MF220088
OR
Other
Enumeration date
11/15/2021
Last updated
10/11/2024
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