Individual
KISHOREE JAYANT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19400 EVERGREEEN PWY, HILLSBORO, OR 97124-7031
(503) 645-2762
Mailing address
3739 NW BLUEGRASS PL, PORTLAND, OR 97229-7068
(503) 629-8129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OR MD16451
OR
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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