Individual
DR. TATSURO OGISU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2455 NW MARSHALL ST, SUITE 6, PORTLAND, OR 97210-2949
(503) 706-9445
(503) 282-6812
Mailing address
2455 NW MARSHALL ST, SUITE 6, PORTLAND, OR 97210-2949
(503) 706-9445
(503) 282-6812
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD21453
OR
Other
Enumeration date
02/16/2007
Last updated
10/21/2013
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