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General NPI Number Information
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NPI Number | 1376488429
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Entity Type | Individual
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Provider Name | PATRICIA L JILOT PTA
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Gender | Female
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 11203 SE SUNNYSIDE RD
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City | CLACKAMAS
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State | OR
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Zip | 97015-7787
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Country | US
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Telephone | 503-698-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 3551 SE HAROLD CT
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City | PORTLAND
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State | OR
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Zip | 97202-4343
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Country | US
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Telephone | 503-784-1247
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 8602
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License Number State | OR
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