Individual
SHIVANI JITENDRAKUMAR PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5050 NE HOYT ST STE 362, PORTLAND, OR 97213-2983
(503) 239-6800
(503) 239-0006
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
004352
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD168155
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2086379
—
WA
05
—
500671830
—
OR
Enumeration date
06/18/2010
Last updated
11/05/2024
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