Individual
MS. ELISA FUMI AKAGI FUKUSHIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1698 E MCANDREWS RD STE 160, MEDFORD, OR 97504
(541) 732-6070
Mailing address
1698 E MCANDREWS RD STE 160, MEDFORD, OR 97504-5590
(541) 732-6070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD204223
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500797738
—
OR
Enumeration date
05/20/2015
Last updated
12/06/2021
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