Wustenberg, Jennifer Nicole

Wustenberg, Jennifer Nicole is an individual health care provider with primary practice located at 1708 21St Ave , Forest Grove OR 97116-1604. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Wustenberg, Jennifer Nicole can be contacted via phone (503) 453-4118.

Contact Information

Primary practice address
1708 21St Ave Forest Grove OR 97116-1604
Phone: (503) 453-4118
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H6321 Oregon

Profile Details

NPI number 1790280139
LBN Legal business name Wustenberg, Jennifer Nicole
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2018
Last updated Mar 28th, 2018 - about 7 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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