Individual
MS. MURAL J. NISHIKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 SW 13TH AVE, PORTLAND, OR 97205-1902
(503) 221-0161
(503) 274-1697
Mailing address
800 SW 13TH AVE, PORTLAND, OR 97205-1902
(503) 221-0161
(503) 274-1697
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD23145
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110239324
RR MEDICARE
OR
05
—
286581
—
OR
Enumeration date
11/29/2005
Last updated
06/21/2012
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