Individual
SETH ALAN NINIVAGGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
7010 NE CORNELL RD, HILLSBORO, OR 97124-5422
(503) 693-0109
Mailing address
11674 SW WILTON AVE, TIGARD, OR 97223-1657
(775) 750-4058
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0017842
OR
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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