Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michelle Ichikawa, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1376996751

Dr. Michelle Ichikawa, MD is an Obstetrics/Gynecology in Clackamas, Oregon. Qualified in 2019, 7 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Connecticut, Hawaii and Oregon.

Years since qualifying
7
Licensed in
CT, HI, OR
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (503) 813-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD224347 (OR)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence MDR7728 (HI)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 74109 (CT)

Record details

NPI number1376996751
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2016
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address500 Ne Multnomah St Ste 100, Portland, OR 97232-2099

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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