Individual
SAMANTHA NOZOMI MURATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5415 SW BEAVERTON CT HWY, PORTLAND, OR 97221
(503) 246-2842
Mailing address
1720 SW 4TH AVE APT 234, PORTLAND, OR 97201-5530
(224) 232-7722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0018078
OR
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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