Tatyana Shiyenkova

NPI #1093227548 in Gresham, Oregon

Provider Information

NPI Number: 1093227548
Entity Type: Individual
Name: Tatyana Shiyenkova
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 24, 2017
Last Updated: Oct 24, 2017

Practice Location

Address: 1555 NE DIVISION ST
City: Gresham
State: Oregon
ZIP Code: 97030-4271
Phone: (503) 666-9476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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