Gladstone, Tess Rebecka

Gladstone, Tess Rebecka is an sole proprietor health care provider with primary practice located at 4817 River Rd N , Keizer OR 97303. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Gladstone, Tess Rebecka can be contacted via phone (503) 874-4560.

Contact Information

Primary practice address
4817 River Rd N Keizer OR 97303
Phone: (503) 874-4560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X D10790 Oregon

Profile Details

NPI number 1356720908
LBN Legal business name Gladstone, Tess Rebecka
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2015
Last updated Sep 7th, 2018 - about 8 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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