Copher, Jaycee Amanda

Copher, Jaycee Amanda is an individual health care provider with primary practice located at 365 Warner Milne Rd , Oregon City OR 97045-4073. She recently has only one registered license in Dental Providers / Dental Therapist, which is considered as her primary health care specialty. Copher, Jaycee Amanda can be contacted via phone (971) 206-7115.

Contact Information

Primary practice address
365 Warner Milne Rd Oregon City OR 97045-4073
Phone: (971) 206-7115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Therapist 125J00000X D0003 Oregon

Profile Details

NPI number 1134827728
LBN Legal business name Copher, Jaycee Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2023
Last updated Sep 6th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134827728 NPPES
Oregon MEDICAID DT0003

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