Jacky, Jeffrey
Jacky, Jeffrey is an sole proprietor health care provider with primary practice located at 4925 Sw Griffith Dr , Beaverton OR 97005-2923. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Jacky, Jeffrey can be contacted via phone (855) 433-6825.Contact Information
Primary practice address
4925 Sw Griffith Dr
Beaverton OR 97005-2923
Phone: (855) 433-6825
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Denturist | 122400000X | DTDO709602 | Oregon |
Profile Details
| NPI number | 1356791677 |
|---|---|
| LBN Legal business name | Jacky, Jeffrey |
| Credentials | DENTURIST LD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2016 |
| Last updated | Jun 26th, 2023 - about last year |
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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