AIDA WIJAYA

PORTLAND, OR
NPI1003114935
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  0010283)
Enumeration Date2011-03-01
Last Update Date2011-03-01
Business Address
-- AIDA WIJAYA
8330 N IVANHOE ST
PORTLAND, OR 97203-4824
Phone number: 503-205-1600
Mailing Address
-- AIDA WIJAYA
8330 N IVANHOE ST
PORTLAND, OR 97203-4824
Phone number: 503-205-1600