Provider Demographics
NPI:1366879280
Name:BIJLANI, ROMILLA YOGESH (PA-C)
Entity type:Individual
Prefix:
First Name:ROMILLA
Middle Name:YOGESH
Last Name:BIJLANI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ROMILLA
Other - Middle Name:SURESH
Other - Last Name:BIJLANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3181 SW SAM JACKSON PARK RD
Mailing Address - Street 2:DEPT OF OTOLARYNGOLOGY/HEAD & NECK SURGERY, PV01
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3011
Mailing Address - Country:US
Mailing Address - Phone:503-494-5355
Mailing Address - Fax:503-346-6826
Practice Address - Street 1:3181 SW SAM JACKSON PARK RD
Practice Address - Street 2:DEPT OF OTOLARYNGOLOGY/HEAD & NECK SURGERY, PV01
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3011
Practice Address - Country:US
Practice Address - Phone:503-494-5355
Practice Address - Fax:503-346-6826
Is Sole Proprietor?:No
Enumeration Date:2013-10-09
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORPA165098363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical