Individual
ALAN K MORIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225
(503) 292-9108
(503) 292-0346
Mailing address
PO BOX 25184, PORTLAND, OR 97298
(503) 292-9108
(503) 292-0346
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
26620
OR
2085R0202X
Diagnostic Radiology Physician
Primary
26620
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OR
Enumeration date
05/17/2006
Last updated
01/15/2008
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