Individual
JESSICA ANNETTE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005
(503) 626-4148
Mailing address
4855 SW WESTERN AVE, BEAVERTON, OR 97005
(503) 626-4148
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6289
OR
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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