Shobha N. Jetmalani, M.D.

NPI #1407822687 in Tigard, Oregon

Provider Information

NPI Number: 1407822687
Entity Type: Individual
Name: Shobha N. Jetmalani, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Feb 27, 2006
Last Updated: Oct 11, 2012

Practice Location

Address: 18040 SW LOWER BOONES FERRY RD
Address 2: SUITE 100
City: Tigard
State: Oregon
ZIP Code: 97224-7258
Phone: (503) 215-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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