Individual
HANA L. TAKUSAGAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1550 OAK ST STE 3, EUGENE, OR 97401
(541) 683-2020
Mailing address
3303 SW BOND AVE, 11TH FLOOR, PORTLAND, OR 97239-4501
(503) 494-3000
(503) 418-0843
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD154070
OR
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
MD154070
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500634630
—
OR
Enumeration date
06/23/2008
Last updated
05/23/2018
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