Individual
JACKSON VAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
20140 MCLOUGHLIN BLVD, GLADSTONE, OR 97027-2604
(971) 404-1374
Mailing address
10952 SE LENORE ST, HAPPY VALLEY, OR 97086-8789
(503) 475-9235
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12050
OR
Other
Enumeration date
07/22/2024
Last updated
11/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us