Individual
SATTA JIVAGUNCHAINAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 NE 102ND AVE, PORTLAND, OR 97220-3902
(503) 255-5494
Mailing address
7404 N INTERSTATE AVE, PORTLAND, OR 97217-5528
(503) 286-6784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0015543
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
15543
OR
Other
Enumeration date
08/31/2016
Last updated
04/21/2017
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