Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ajitkumar N Jetmalani, MD

Individual provider Psychiatry Physician · NPI 1104994920

Ajitkumar N Jetmalani, MD is a Psychiatry Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-6176
Fax: (503) 494-6152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence MD15652 (OR)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD15652 (OR)

Record details

NPI number1104994920
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 1, 2006
Last updated in NPPESDecember 11, 2018

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