Kelly, Jessica Ann

Kelly, Jessica Ann is an individual health care provider with primary practice located at 8 N State St , Lake Oswego OR 97034-3956. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Kelly, Jessica Ann can be contacted via phone (503) 635-3483.

Contact Information

Primary practice address
8 N State St Lake Oswego OR 97034-3956
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H4611 Oregon

Profile Details

NPI number 1033363213
LBN Legal business name Kelly, Jessica Ann
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2008
Last updated Nov 13th, 2008 - about 17 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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