Aida Wijaya
Aida Wijaya is a Pharmacist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2011.
- Licensed in
- OR
- In the registry since
- 2011
Practice location Address checks out
8330 N Ivanhoe StPortland, OR 97203-4824
Phone: (503) 205-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 0010283 (OR) |
|---|
Record details
| NPI number | 1003114935 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 1, 2011 |
| Last updated in NPPES | March 1, 2011 |
| Mailing address | 8330 N Ivanhoe St, Portland, OR 97203-4824 |
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