Individual
IZUMI HARUKUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # /UHS-2, PORTLAND, OR 97239-3011
(503) 494-7601
Mailing address
3181 SW SAM JACKSON PARK RD., PORTLAND, OR 97239-3011
(503) 494-7641
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD25868
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273941
—
OR
05
—
405277300
—
MD
05
—
8444432
—
WA
Enumeration date
05/10/2006
Last updated
12/16/2016
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