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Contact Information

MAKOTO UCHIYAMA, DO
19300 SW 65TH AVE
TUALATIN, OR97062-7706
 Phone: 503-413-8407
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MAKOTO UCHIYAMA · (Male)

NPI # 1437476223
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/03/2010
Last updated 02/11/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 20A16274
  • OR License # DO161382
  • WA License # OP60802412
  • OR Medicaid 500659840
Hospital affiliation(s)
  • LEGACY EMANUEL MEDICAL CENTER - (Acute Care)
    2801 N GANTENBEIN AVENUE
    PORTLAND, OR 97227
  • LEGACY GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    1015 NW 22ND AVENUE, W121
    PORTLAND, OR 97210
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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