Individual
JUVENAL FILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5443
(503) 418-1385
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5443
(503) 418-1385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA197815
OR
363AS0400X
Surgical Physician Assistant
Primary
PA197815
OR
Other
Enumeration date
06/18/2019
Last updated
09/05/2025
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