Individual
DR. LIWEN SHIMATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
9000 N LOMBARD ST, PORTLAND, OR 97203-3006
(503) 988-5308
Mailing address
3931 BIRCH ST, WASHOUGAL, WA 98671-8912
(503) 358-3459
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0010532
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010532
OREGON RPH LICENSE
OR
Enumeration date
07/01/2020
Last updated
07/01/2020
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