Campbell, Jennifer Eva

Campbell, Jennifer Eva is an individual health care provider with primary practice located at 73265 Confederated Way , Pendleton OR 97801. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Campbell, Jennifer Eva can be contacted via phone (541) 966-9830.

Contact Information

Primary practice address
73265 Confederated Way Pendleton OR 97801
Phone: (541) 966-9830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H4174 Oregon

Profile Details

NPI number 1992807218
LBN Legal business name Campbell, Jennifer Eva
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Mar 10th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992807218 NPPES
Oregon MEDICAID 171037

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