Provider Demographics
NPI:1629383450
Name:CHIRA, OLGA
Entity type:Individual
Prefix:DR
First Name:OLGA
Middle Name:
Last Name:CHIRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 WALLACE RD NW
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304-3834
Mailing Address - Country:US
Mailing Address - Phone:503-428-5073
Mailing Address - Fax:503-428-5077
Practice Address - Street 1:699 WALLACE RD NW
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97304-3834
Practice Address - Country:US
Practice Address - Phone:503-428-5073
Practice Address - Fax:503-428-5077
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0011125183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist