Healthcare Provider Details

I. General information

NPI: 1295812402
Provider Name (Legal Business Name): JASON NAOKI HASHIMA M.D., M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10180 SE SUNNYSIDE RD
CLACKAMAS OR
97015-8970
US

IV. Provider business mailing address

14305 SW HIGH TOR DR
TIGARD OR
97224-1424
US

V. Phone/Fax

Practice location:
  • Phone: 503-571-1490
  • Fax: 503-571-4906
Mailing address:
  • Phone: 503-351-7114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberMD25993
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberMD60027534
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberMD25993
License Number StateOR
# 4
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberMD25993
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierMD60027534
Identifier TypeOTHER
Identifier StateWA
Identifier IssuerMEDICAL LICENSE
# 2
IdentifierMD25993
Identifier TypeOTHER
Identifier StateOR
Identifier IssuerUNLIMITED STATE LICENSE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: