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

Jalen Shegrud

Individual provider Physical Therapy Assistant · NPI 1053096073

Jalen Shegrud is a Physical Therapy Assistant in Grants Pass, Oregon. Licensed in Oregon. Registered with an NPI since 2023.

Licensed in
OR
In the registry since
2023

Practice location Address checks out

1710 NE Fairview Ave
Grants Pass, OR 97526-3877
Phone: (541) 479-2606
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 9934 (OR)

Record details

NPI number1053096073
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 19, 2023
Last updated in NPPESJune 19, 2023
Certification dateJune 17, 2023
Mailing address2179 Shane Way, Grants Pass, OR 97527-4249

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