Aida Wijaya

NPI #1003114935 in Portland, Oregon

Provider Information

NPI Number
1003114935
Entity Type
Individual
Name
Aida Wijaya
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Mar 1, 2011
Last Updated
Mar 1, 2011

Practice Location

Address
8330 N IVANHOE ST
State
Oregon
ZIP Code
97203-4824
Phone
(503) 205-1600

Specialties & Taxonomy Codes

Specialty
Pharmacist

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