Individual
JOURDAN L BURKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
12750 SE STARK ST BLDG E, PORTLAND, OR 97233-1539
(971) 347-3009
(971) 256-3277
Mailing address
4631 SW LURADEL ST APT 38, PORTLAND, OR 97219-6838
(503) 926-4584
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7231
OR
Other
Enumeration date
02/15/2017
Last updated
12/03/2019
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