Provider Demographics
NPI:1710085220
Name:OJIMA, RICHARD EIICHI (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:EIICHI
Last Name:OJIMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 65622
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98464-1622
Mailing Address - Country:US
Mailing Address - Phone:253-922-9570
Mailing Address - Fax:253-922-9587
Practice Address - Street 1:4703 PACIFIC HWY E STE A
Practice Address - Street 2:
Practice Address - City:FIFE
Practice Address - State:WA
Practice Address - Zip Code:98424-2620
Practice Address - Country:US
Practice Address - Phone:253-922-9570
Practice Address - Fax:253-922-9587
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA88667208D00000X
WAMD61074997208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice