Individual
JAYNE VILLAMIZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7320 SW HUNZIKER RD STE 201, TIGARD, OR 97223-2301
(503) 778-0787
Mailing address
4853 NE 6TH AVE, PORTLAND, OR 97211-3909
(503) 961-0099
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OR
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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