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Individual

ASUKA MURATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1508 DIVISION ST, SUITE 15, OREGON CITY, OR 97045-1582
(503) 692-3750
(503) 691-2324
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA172715
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2049730
WA
05
500695110
OR
Enumeration date
11/21/2012
Last updated
12/01/2021
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