Individual
AMEET JHOOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2801 N GANTENBEIN AVE, ROOM NO 4100, PORTLAND, OR 97227-1623
(503) 413-8407
(503) 413-7361
Mailing address
15234 NW CHANNA DR, PORTLAND, OR 97229-8719
(503) 614-0667
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD24534
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297441
—
OR
Enumeration date
03/25/2006
Last updated
10/16/2012
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