SHOBHA N. JETMALANI M.D.
NPI 1407822687
Dermatology in Tigard, OR

Active since February 27, 2006
18040 SW LOWER BOONES FERRY RD, SUITE 100, TIGARD, OR 97224(503) 215-0700(503) 216-0750 Get Directions Write a Review

NPPES record last updated: October 11, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shobha N. Jetmalani M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOBHA N. JETMALANI M.D. (NPI 1407822687) is an individual dermatology provider in Tigard, Oregon, licensed in Oregon (MD15615) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1407822687
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSHOBHA N. JETMALANICredential: M.D.
Location Address18040 SW LOWER BOONES FERRY RD, SUITE 100Tigard, OR 97224-7258
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494 · Fax (503) 215-6644
Fax(503) 216-0750
Sole ProprietorNo
Enumeration DateFebruary 27, 2006
Last NPPES UpdateOctober 11, 2012
NPI 1407822687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in OR · MD15615
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
18040 SW LOWER BOONES FERRY RD, Tigard, OR 97224

Other Identifiers 5

OtherP00818469OR · Rr Medicare
Medicare PINR155900OR
Medicare UPINE9368OR
Medicaid031216OR
Medicare PINR152674OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
18040 SW LOWER BOONES FERRY RD, SUITE 100
TIGARD, OR 97224
Clinic/Center
18040 SW LOWER BOONES FERRY RD, SUITE 104
PORTLAND, OR 97224
Physician Assistant
18040 SW LOWER BOONES FERRY RD
TIGARD, OR 97224
Family Medicine
18040 SW LOWER BOONES FERRY RD, STE 100
TIGARD, OR 97224
Family Medicine
18040 SW LOWER BOONES FERRY RD, SUITE 100
TIGARD, OR 97224
Clinic/Center
18040 SW LOWER BOONES FERRY RD, SUITE 207
TIGARD, OR 97224
Family Medicine
18040 SW LOWER BOONES FERRY RD, STE 100
TIGARD, OR 97224
Pharmacist
18040 SW LOWER BOONES FERRY RD
TIGARD, OR 97224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shobha Jetmalani's NPI number?

The NPI number for Shobha Jetmalani is 1407822687. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Shobha Jetmalani located?

Shobha Jetmalani practices at 18040 SW Lower Boones Ferry Rd Suite 100, Tigard, OR 97224. The listed phone number is (503) 215-0700.

What is Shobha Jetmalani's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Shobha Jetmalani was last updated on October 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.