SHINTA IMANSJAH

PORTLAND, OR
NPI1457314353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  RPH-0015242)
Additional Taxonomies183500000X Pharmacist
(Licence: WA  PH61290107)
183500000X Pharmacist
(Licence: FL  PS 40904)
Enumeration Date2006-04-11
Last Update Date2025-04-09
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
211 SE CARUTHERS ST
PORTLAND, OR 97214-4502
Phone number: 503-224-1044