Individual
JASMINE PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSAOM, LAC
Contact information
Practice address
9735 SW SHADY LN, SUITE 306, TIGARD, OR 97223-5481
(503) 573-4239
(503) 573-4241
Mailing address
9735 SW SHADY LN, SUITE 306, TIGARD, OR 97223-5481
(503) 573-4239
(503) 573-4241
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
00002104
WA
171100000X
Acupuncturist
Primary
0965
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00002104
ACUPUNCTURE LICENSE NUMBE
WA
01
—
0965
ACUPUNCTURE LICENSE NUMBE
OR
Enumeration date
12/19/2006
Last updated
10/31/2011
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