Provider Demographics
NPI:1578232864
Name:DOGHDA, AIAA (PHARMACIST)
Entity Type:Individual
Prefix:DR
First Name:AIAA
Middle Name:
Last Name:DOGHDA
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13779 SW HILLSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-5671
Mailing Address - Country:US
Mailing Address - Phone:971-470-5121
Mailing Address - Fax:
Practice Address - Street 1:13779 SW HILLSHIRE DR
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-5671
Practice Address - Country:US
Practice Address - Phone:971-470-5121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0018572183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist