Swanson Jaecks, Kelli Marion

Swanson Jaecks, Kelli Marion is an sole proprietor health care provider with primary practice located at 380 Jerris Ave Se , Salem OR 97302-5278. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Swanson Jaecks, Kelli Marion can be contacted via phone (503) 315-2222.

Contact Information

Primary practice address
380 Jerris Ave Se Salem OR 97302-5278
Fax: (503) 315-2248
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H3590 Oregon

Profile Details

NPI number 1558559179
LBN Legal business name Swanson Jaecks, Kelli Marion
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2007
Last updated Oct 9th, 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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