Meadows, Jackson Karl
Meadows, Jackson Karl is an sole proprietor health care provider with primary practice located at 18795 Sw Boones Ferry Rd Suite 1, Tualatin OR 97062-8412. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Meadows, Jackson Karl can be contacted via phone (503) 692-3114.Contact Information
Primary practice address
18795 Sw Boones Ferry Rd Suite 1
Tualatin OR 97062-8412
Phone: (503) 692-3114
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D4153 | Oregon |
Profile Details
| NPI number | 1295882306 |
|---|---|
| LBN Legal business name | Meadows, Jackson Karl |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Jul 8th, 2007 - 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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