SHINTA IMANSJAH

PORTLAND, OR
NPI1457314353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  RPH-0015242)
Additional Taxonomies183500000X Pharmacist
(Licence: FL  PS 40904)
Enumeration Date2006-04-11
Last Update Date2023-06-02
Business Address
SHINTA IMANSJAH Pharm D/RPH
12360 E BURNSIDE ST
PORTLAND, OR 97233-1042
Phone number: 971-279-4800
Mailing Address
SHINTA IMANSJAH Pharm D/RPH
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 971-386-2278