Individual
DR. JAY PANDAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3442
(503) 494-5330
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3442
(503) 494-5330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
315983
NY
207R00000X
Internal Medicine Physician
MD214979
OR
207RN0300X
Nephrology Physician
Primary
MD214979
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2017
Last updated
06/30/2023
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