Individual
SEJAL ASHWIN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4805 NE GLISAN ST STE 6N40, PORTLAND, OR 97213-2933
(503) 215-6601
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA196262
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2039130
—
WA
Enumeration date
09/22/2010
Last updated
10/11/2023
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