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NPI Code Detail

MEDICARE: CORINNE NAKAMURA

MEDICARE: CORINNE NAKAMURA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist226521MA
2225100000XPhysical Therapist03224OR
3171100000XAcupuncturistAC165202OR

General Provider Information

NPI Number : 1548479298
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORINNE NAKAMURA
Provider Business Mailing Address
First Line : 6124 NE HOYT ST
Second Line :
City : PORTLAND
State : OR
Zip : 97213-4355
Country : US
Telephone Number : 617-270-1131
Fax Number :
Provider Business Practice Location Address
First Line : 6010 SW SHATTUCK RD
Second Line :
City : PORTLAND
State : OR
Zip : 97221-1043
Country : US
Telephone Number : 617-270-1131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 01/02/2014

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Directions to “ CORINNE NAKAMURA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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