SearchOregon183500000X

Jay Randhawa

NPI 1336417971 · on the registry since 2011

Practice

Address
20151 Se Highway 212
Boring, OR 97089
Phone
(503) 658-7005
Fax
(503) 658-7081
Organisation at this address
Safeway Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-12-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon