Individual
MADA SHAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10365 SE SUNNYSIDE RD STE 245, CLACKAMAS, OR 97015-5752
(503) 208-9144
Mailing address
10365 SE SUNNYSIDE RD STE 245, CLACKAMAS, OR 97015-5752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0015376
OR
Other
Enumeration date
05/16/2018
Last updated
03/19/2025
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