Individual
SHILPA NADGOUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7404 N INTERSTATE AVE, PORTLAND, OR 97217-5528
(503) 286-6784
(503) 286-6792
Mailing address
7404 N INTERSTATE AVE, PORTLAND, OR 97217-5528
(503) 286-6784
(503) 286-6792
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0010929
OR
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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