Shah, Jay Ajit
Shah, Jay Ajit is an individual health care provider with primary practice located at 29345 Sw Town Center Loop E Ste 110 , Wilsonville OR 97070. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shah, Jay Ajit can be contacted via phone (503) 582-2100.Contact Information
Primary practice address
29345 Sw Town Center Loop E Ste 110
Wilsonville OR 97070
Phone: (503) 582-2100
Fax: (503) 582-2101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD166559 | Oregon |
Profile Details
| NPI number | 1215162318 |
|---|---|
| LBN Legal business name | Shah, Jay Ajit |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2009 |
| Last updated | Oct 14th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215162318 | NPPES |
| Oregon | MEDICAID | 500673576 |
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