Individual
DR. JOE WAYNE KUROSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7545 NE AMBASSADOR PL, PORTLAND, OR 97220-1367
(971) 978-4859
Mailing address
5015 NE 26TH AVE, PORTLAND, OR 97211-6322
(971) 808-9282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD194463
OR
Other
Enumeration date
05/28/2009
Last updated
03/31/2020
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