Kelso, Jessica Anne

Kelso, Jessica Anne is an individual health care provider with primary practice located at 365 Warner Milne Rd , Oregon City OR 97045-4073. 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. Kelso, Jessica Anne can be contacted via phone (503) 810-0328.

Contact Information

Primary practice address
365 Warner Milne Rd Oregon City OR 97045-4073
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X Oregon
Dental Providers / Dental Hygienist 124Q00000X H7596 Oregon

Profile Details

NPI number 1255694915
LBN Legal business name Kelso, Jessica Anne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2012
Last updated Jan 13th, 2020 - about 5 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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