Individual
ASHA JETMALANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 SE ALDER ST, SUITE 301, PMB 107, PMB 107, PORTLAND, OR 97214
(971) 414-4020
(971) 233-6460
Mailing address
PO BOX 19272, PORTLAND, OR 97280-0272
(971) 414-4020
(971) 233-6460
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO176404
OR
Other
Enumeration date
04/03/2014
Last updated
04/16/2025
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