Vila, Jason Jeremy

Vila, Jason Jeremy is an individual health care provider with primary practice located at 101 S State St Suite 200G, Lake Oswego OR 97034-3900. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Vila, Jason Jeremy can be contacted via phone (503) 636-3028.

Contact Information

Primary practice address
101 S State St Suite 200G Lake Oswego OR 97034-3900
Phone: (503) 636-3028
Fax: (503) 636-1837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4201 Oregon

Profile Details

NPI number 1467420596
LBN Legal business name Vila, Jason Jeremy
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated May 9th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467420596 NPPES
Oregon MEDICAID 232010

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