Provider Demographics
NPI:1861927816
Name:OKAMURA, RICHARD JASON SCOTT S (MS)
Entity type:Individual
Prefix:MR
First Name:RICHARD JASON
Middle Name:SCOTT S
Last Name:OKAMURA
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:499 ILLINOIS ST
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-2518
Mailing Address - Country:US
Mailing Address - Phone:415-514-5849
Mailing Address - Fax:415-502-1421
Practice Address - Street 1:499 ILLINOIS ST
Practice Address - Street 2:6TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94158-2518
Practice Address - Country:US
Practice Address - Phone:415-514-5849
Practice Address - Fax:415-502-1421
Is Sole Proprietor?:No
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC000649170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS