Provider Demographics
NPI:1245325893
Name:KAUR-JAYARAM, NAVNIT (MD)
Entity type:Individual
Prefix:
First Name:NAVNIT
Middle Name:
Last Name:KAUR-JAYARAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9155 SW BARNES RD
Mailing Address - Street 2:SUITE 934
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225
Mailing Address - Country:US
Mailing Address - Phone:503-292-7005
Mailing Address - Fax:503-292-9058
Practice Address - Street 1:9155 SW BARNES RD
Practice Address - Street 2:SUITE 934
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225
Practice Address - Country:US
Practice Address - Phone:503-292-7005
Practice Address - Fax:503-292-9058
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD19940174400000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR107761Medicare ID - Type Unspecified
F68248Medicare UPIN