Jennifer Wilkeson
Dental Hygienist in Portland, OR. Individual provider (NPI-1).
NPI number1508250366
StatusActive
Last updated in NPPESMar 18, 2015
Details
- NPI
- 1508250366
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Wilkeson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2015
- Last updated
- Mar 18, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | H6814 | OR | Yes |
Practice location
3500 Ne Martin Luther King Jr BlvdPortland, OR 97212-2093
Phone 503-765-7355
Mailing address
57502 Alder Creek RdScappoose, OR 97056-2121
Phone 503-543-4035
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