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Aida Wijaya
NPI 1003114935 · on the registry since 2011
Practice
- Address
- 8330 N Ivanhoe St
Portland, OR 97203 - Phone
- (503) 205-1600
- Organisation at this address
- Safeway Inc
1918 Winter Street Operating Co LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon