Provider Demographics
NPI:1245598416
Name:SOLIMAN, JAYRUS FRANCIS SIMBULAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAYRUS FRANCIS
Middle Name:SIMBULAN
Last Name:SOLIMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3158
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-3158
Mailing Address - Country:US
Mailing Address - Phone:541-732-6000
Mailing Address - Fax:541-732-6005
Practice Address - Street 1:965 ELLENDALE DR
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-8215
Practice Address - Country:US
Practice Address - Phone:541-732-6000
Practice Address - Fax:541-732-6005
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH099206207R00000X
ORMD171549207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500689075Medicaid
OR500689075Medicaid