Custer, Jean Rae
Custer, Jean Rae is an sole proprietor health care provider with primary practice located at 10317 E Burnside St 2Nd Floor, Portland OR 97216-2733. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Custer, Jean Rae can be contacted via phone (503) 988-3905.Contact Information
Primary practice address
10317 E Burnside St 2Nd Floor
Portland OR 97216-2733
Phone: (503) 988-3905
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 1255 | Oregon |
Profile Details
| NPI number | 1013066976 |
|---|---|
| LBN Legal business name | Custer, Jean Rae |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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