Individual
TAICHI KITAGAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1844 SW MORRISON ST, PORTLAND, OR 97205-1605
(503) 553-5570
Mailing address
12610 NW BARNES RD APT 1, PORTLAND, OR 97229-6036
(415) 845-1214
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10144276
OR
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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