Jacobs, Jessica Leigh

Jacobs, Jessica Leigh is an individual health care provider with primary practice located at 5025 Se 28Th Ave , Portland OR 97202-4445. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Jacobs, Jessica Leigh can be contacted via phone (503) 238-4418.

Contact Information

Primary practice address
5025 Se 28Th Ave Portland OR 97202-4445
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X Oregon

Profile Details

NPI number 1275187189
LBN Legal business name Jacobs, Jessica Leigh
Credentials EFDA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2019
Last updated Jul 29th, 2019 - about 6 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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