Individual
JAYCEE AMANDA COPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 WARNER MILNE RD, OREGON CITY, OR 97045-4073
(971) 206-7115
Mailing address
365 WARNER MILNE RD STE 110, OREGON CITY, OR 97045-4073
(971) 206-7115
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
D0003
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT0003
—
OR
Enumeration date
02/22/2023
Last updated
09/06/2023
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