Jackson, Bethany D
Jackson, Bethany D is an individual health care provider with primary practice located at 530 Nw 27Th St , Corvallis OR 97330-5223. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Jackson, Bethany D can be contacted via phone (541) 766-6835.Contact Information
Primary practice address
530 Nw 27Th St
Corvallis OR 97330-5223
Phone: (541) 766-6835
Fax: (541) 768-6186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | H7018 | Oregon |
Profile Details
| NPI number | 1124774369 |
|---|---|
| LBN Legal business name | Jackson, Bethany D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2022 |
| Last updated | Feb 25th, 2022 - about 3 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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