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

Jay Villanueva

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1679258677

Jay Villanueva is a Physical Medicine & Rehabilitation Physician in Portland, Oregon. Licensed in Colorado. Registered with an NPI since 2023.

Licensed in
CO
In the registry since
2023

Practice location Address checks out

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964
Phone: (503) 220-8262
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence PTA...13101 (CO)

Record details

NPI number1679258677
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 16, 2023
Last updated in NPPESJune 16, 2023
Certification dateJune 16, 2023
Mailing addressBldg 834 Sixth St Box 2518, Little Rock Afb, AR 72099-0001

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