Individual
ISHMAEL TOGAMAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH & TM
Contact information
Practice address
12710 SE DIVISION ST, PORTLAND, OR 97236-3134
(503) 988-3601
(503) 988-4167
Mailing address
421 SW OAK ST, PORTLAND, OR 97204-1817
(503) 988-7468
(503) 988-3015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD161834
OR
207Q00000X
Family Medicine Physician
MDR-5905
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096511
—
OR
05
—
22959
—
OR
Enumeration date
07/06/2010
Last updated
08/12/2015
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