Jordan, Kelly Jean
Jordan, Kelly Jean is an individual health care provider with primary practice located at 2300 Lancaster Dr Ne , Salem OR 97305-1223. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Assistant, Dental Providers / Dental Hygienist. Dental Providers / Dental Hygienist is her primary health care specialty. Jordan, Kelly Jean can be contacted via phone (503) 370-4313.Contact Information
Primary practice address
2300 Lancaster Dr Ne
Salem OR 97305-1223
Phone: (503) 370-4313
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Assistant | 126800000X | ||
Dental Providers / Dental Hygienist | 124Q00000X | 6265 | Oregon |
Profile Details
NPI number | 1023377819 |
---|---|
LBN Legal business name | Jordan, Kelly Jean |
Credentials | EFDA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 14th, 2012 |
Last updated | Sep 10th, 2012 - about 13 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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