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

Satta Jivagunchainan

Individual provider Pharmacist · NPI 1598211393

Satta Jivagunchainan is a Pharmacist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1111 NE 102nd Ave
Portland, OR 97220-3902
Phone: (503) 255-5494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 15543 (OR)
Pharmacist Taxonomy 183500000X · Licence RPH-0015543 (OR)

Record details

NPI number1598211393
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 31, 2016
Last updated in NPPESApril 21, 2017

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