| Shobha N Jetmalani, MD | |
|
18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224-7258 | |
| (503) 215-0700 | |
| (503) 216-0750 |
| Full Name | Shobha N Jetmalani |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 18040 Sw Lower Boones Ferry Rd, Tigard, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407822687 | NPI | - | NPPES |
| 031216 | Medicaid | OR | |
| P00818469 | Other | OR | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD15615 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shobha N Jetmalani, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Shobha N Jetmalani, MD 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224-7258 Ph: (503) 215-0700 |
Sophia Sangar, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 10215 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-245-2415 Fax: 503-244-5963 | |
Heh Shin Racher Kwak, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 18040 Sw Lower Boones Ferry Rd Ste 201, Tigard, OR 97224 Phone: 503-216-0500 Fax: 971-712-2120 | |
Dr. Eric J Hester, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10215 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-245-2415 | |
Jessica N Mehta, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224 Phone: 503-216-0770 | |
Matthew Charles Mcclelland, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224 Phone: 503-216-0700 | |
Dr. Stephen John Mannino, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10215 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-245-2415 Fax: 503-244-5963 |