Shelnutt, Jessica Elaine
Shelnutt, Jessica Elaine is an individual health care provider with primary practice located at 10209 Se Sunnyside Rd , Clackamas OR 97015-9782. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Shelnutt, Jessica Elaine can be contacted via phone (503) 353-3905.Contact Information
Primary practice address
10209 Se Sunnyside Rd
Clackamas OR 97015-9782
Phone: (503) 353-3905
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 000412 | Oregon |
Profile Details
| NPI number | 1912557117 |
|---|---|
| LBN Legal business name | Shelnutt, Jessica Elaine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2019 |
| Last updated | Sep 19th, 2019 - 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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