MEDICARE: ALISON UYEMURA

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
1	207V00000X	Obstetrics & Gynecology Physician	4301515677	MI
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207V00000X	Obstetrics & Gynecology Physician	MD187501	OR

General Provider Information

NPI Number	:	1922438704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON UYEMURA

Provider Business Mailing Address
First Line	:	2337 DEVON CIR
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48105-2286
Country	:	US
Telephone Number	:	503-667-2014
Fax Number	:

Provider Business Practice Location Address
First Line	:	5125 SKYLINE RD S
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97306-9427
Country	:	US
Telephone Number	:	503-667-2014
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2013
Last Update Date	:	01/12/2026

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