IndividualActive
Jay Villanueva
NPI 1679258677 · Physical Medicine & Rehabilitation Physician · Portland, OR
Provider details
- NPI number
- 1679258677
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- PTA...13101 (CO)
Practice location
3710 Sw US Veterans Hospital Rd
Portland, OR 97239-2964
Phone: (503) 220-8262
Mailing address
Bldg 834 Sixth St Box 2518
Little Rock Afb, AR 72099-0001
Registry dates
- Enumerated
- 2023-06-16
- Last updated
- 2023-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.