Jackson, Kathleen Marie
Jackson, Kathleen Marie is an individual health care provider with primary practice located at 17675 Sw Tualatin Valley Hwy , Beaverton OR 97006-4443. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Jackson, Kathleen Marie can be contacted via phone (503) 259-3160.Contact Information
Primary practice address
17675 Sw Tualatin Valley Hwy
Beaverton OR 97006-4443
Phone: (503) 259-3160
Fax: (503) 259-3169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | H3677 | Oregon |
Profile Details
| NPI number | 1003983362 |
|---|---|
| LBN Legal business name | Jackson, Kathleen Marie |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jul 8th, 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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