Individual
JESSICA ANNE KELSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 WARNER MILNE RD, OREGON CITY, OR 97045-4073
(503) 810-0328
Mailing address
7105 SW HAMPTON ST, TIGARD, OR 97223-8314
(503) 684-9274
(503) 624-9610
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7596
OR
126800000X
Dental Assistant
—
OR
Other
Enumeration date
06/18/2012
Last updated
01/13/2020
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