Individual
HIRO KAWATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3311 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(541) 484-4332
(541) 242-6770
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1253
(360) 729-3185
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD186212
OR
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD186212
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2012
Last updated
11/24/2020
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