Dr. Michelle Ichikawa, MD
Obstetrics & Gynecology in Clackamas, OR. Individual provider (NPI-1).
NPI number1376996751
StatusActive
Last updated in NPPESDec 11, 2025
Details
- NPI
- 1376996751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michelle Ichikawa
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2016
- Certification date
- Dec 11, 2025
- Last updated
- Dec 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD224347 | OR | Yes |
| 207V00000X | Obstetrics & Gynecology | MDR7728 | HI | |
| 207V00000X | Obstetrics & Gynecology | 74109 | CT |
Practice location
10180 Se Sunnyside RdClackamas, OR 97015-8970
Phone 503-813-2000
Mailing address
500 Ne Multnomah St Ste 100Portland, OR 97232-2099
Phone 503-813-2000
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