Individual
JESSICA GIANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
10102 NE GLISAN ST, PORTLAND, OR 97220-4456
(502) 286-6868
Mailing address
6035 N DETROIT AVE, PORTLAND, OR 97217-4338
(503) 737-5644
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7995
OR
Other
Enumeration date
06/15/2021
Last updated
03/11/2022
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