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SATTA JIVAGUNCHAINAN
NPI 1598211393
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Portland, OR

Active since August 31, 2016
1111 NE 102ND AVE, PORTLAND, OR 97220(503) 255-5494 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 21, 2017, Aug 31, 2016 (2 updates tracked since 2016).

About Satta Jivagunchainan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SATTA JIVAGUNCHAINAN (NPI 1598211393) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Portland, Oregon, licensed in Oregon (15543) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1598211393
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameSATTA JIVAGUNCHAINAN
Location Address1111 NE 102ND AVEPortland, OR 97220-3902
Mailing Address7404 N Interstate AvePortland, OR 97217-5528 · (503) 286-6784
Phone(503) 255-5494
Sole ProprietorYes
Enumeration DateAugust 31, 2016
Last NPPES UpdateApril 21, 20172 updates tracked since enumeration
✔ NPI 1598211393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in OR · 15543
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacistTaxonomy 183500000X · License RPH-0015543 (OR)
1111 NE 102ND AVE, Portland, OR 97220
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATIONAL VISION, INC.
Eyewear Supplier
1111 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 255-7782
JESSIE CHAN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1111 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 255-5494
DR. JILL SCHEIFFELE O.D.
Optometrist (Low Vision Rehabilitation)
1111 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 255-7782
FRED MEYER STORES INC
Pharmacy (Community/Retail Pharmacy)
1111 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 255-5494
QUAN TRAN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1111 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 255-5494
ADA LI PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1111 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 255-5494
DR. MARGARET MARY PIATZ BENCK O.D.
Optometrist
1111 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 255-7782

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Satta Jivagunchainan's NPI number?

The NPI number for Satta Jivagunchainan is 1598211393. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Where is Satta Jivagunchainan located?

Satta Jivagunchainan practices at 1111 NE 102nd Ave, Portland, OR 97220. The listed phone number is (503) 255-5494.

What is Satta Jivagunchainan's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Satta Jivagunchainan was last updated on April 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.