NPI 1285482901

Sinjin White-Juker

Practitioner Community/Retail Pharmacy Vancouver, WA

Practice location

Address: 6105 NE 114th Ave, Vancouver, WA 98662-6335
Phone: (360) 254-3848
Mailing address: 1510 SW Alder St, Portland, OR 97205-1537

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 61489199 (WA)

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Registry record

NPI: 1285482901
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 May 2024
Record last updated: 8 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.