Individual
POORAV JITENDRA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MHS
Contact information
Practice address
1333 E BARNETT RD, MEDFORD, OR 97504-8219
(541) 779-4711
(541) 779-0796
Mailing address
2800 N. VANCOUVER AVE, SUITE 230, PORTLAND, OR 97227
(503) 413-4340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD178702
OR
207W00000X
Ophthalmology Physician
Primary
MD178702
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2013
Last updated
03/02/2020
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