Provider Demographics
NPI:1588091839
Name:GANDHI, JATIN YOGESH (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JATIN
Middle Name:YOGESH
Last Name:GANDHI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 SW MURRAY BLVD
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-2354
Mailing Address - Country:US
Mailing Address - Phone:503-574-7400
Mailing Address - Fax:
Practice Address - Street 1:3601 SW MURRAY BLVD
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-2354
Practice Address - Country:US
Practice Address - Phone:035-747-4005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-02
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60466765183500000X
MT17947183500000X
OR14057183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist