Individual
DR. JEFFERY JESS KNOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
405 SE 133RD AVE, PORTLAND, OR 97233-1809
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60187373
WA
1223G0001X
General Practice Dentistry
D3705
ID
1223G0001X
General Practice Dentistry
Primary
D7292
OR
Other
Enumeration date
12/05/2006
Last updated
12/05/2018
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