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Nicholas Carl Asakawa

Emergency Medicine in Clackamas, OR. Individual provider (NPI-1).

NPI number1790103463
StatusActive
Last updated in NPPESFeb 4, 2022

Details

NPI
1790103463
Entity type
Individual (NPI-1)
Name
Nicholas Carl Asakawa
Sex
Male
Sole proprietor
No
Enumeration date
Mar 31, 2014
Certification date
Jul 29, 2021
Last updated
Feb 4, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineMD180890ORYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

10180 Se Sunnyside Rd
Clackamas, OR 97015-8970

Phone 503-819-0015

Mailing address

10180 Se Sunnyside Rd
Clackamas, OR 97015-8970

Phone 503-961-0004

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