Individual
RANDY LIM JAILANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8100 SW NYBERG ST STE 200, TUALATIN, OR 97062-8437
(503) 570-3365
Mailing address
8100 SW NYBERG ST STE 200, TUALATIN, OR 97062-8437
(503) 570-3365
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2155382
TX
225200000X
Physical Therapy Assistant
Primary
CP004282A
OR
Other
Enumeration date
04/29/2022
Last updated
05/02/2022
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