Individual provider · Type 1 NPI

Ajitkumar N. Jetmalani, MD

Child & Adolescent Psychiatry Physician · Portland, OR

NPI number 1104994920 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-6176 Map

Fax (503) 494-6152

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800XMD15652 (OR)
Child & Adolescent Psychiatry Physician Primary 2084P0804XMD15652 (OR)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1104994920

Ajitkumar N. Jetmalani, MD's National Provider Identifier is 1104994920, issued on Dec 1, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Portland, OR. The record was last updated on Dec 11, 2018.