Provider Demographics
NPI:1770697070
Name:PATEL, JAYESH VISHNU (BSC PT)
Entity type:Individual
Prefix:
First Name:JAYESH
Middle Name:VISHNU
Last Name:PATEL
Suffix:
Gender:M
Credentials:BSC PT
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Mailing Address - Street 1:PO BOX 22075
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97269-2075
Mailing Address - Country:US
Mailing Address - Phone:503-353-1278
Mailing Address - Fax:503-353-1273
Practice Address - Street 1:2020 8TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-4657
Practice Address - Country:US
Practice Address - Phone:503-353-1278
Practice Address - Fax:503-353-1273
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2024-11-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OR47292251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic