Most Relevant Information
Provider Data
| NPI Number: | 1003433418 |
| Provider Name: | LIWEN SHIMATA PHARM D |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 0010532 |
Most Important Dates
| Enumeration Date: | 07/01/2020 |
| Last Updated: | 07/01/2020 |
Provider Practice Location
9000 N LOMBARD ST
PORTLAND
OR
972033006
Practice Location Phone/Fax
| Phone: | 5039885308 |
| Fax: |
Provider Mailing Location
3931 BIRCH ST
WASHOUGAL
WA
986718912
Provider Mailing Phone/Fax
| Phone: | 5033583459 |
| Fax: |