Individual
RIE TAKAHASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
860 BELTLINE RD, SPRINGFIELD, OR 97477-1091
(541) 344-4168
(458) 201-8510
Mailing address
860 BELTLINE RD, SPRINGFIELD, OR 97477-1091
(541) 344-4168
(458) 201-8510
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD197958
OR
207ND0101X
MOHS-Micrographic Surgery Physician
MD197958
OR
Other
Enumeration date
07/24/2014
Last updated
12/07/2024
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