Individual
JESSICA RELINA HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10315 NE TANASBOURNE DR STE 300, HILLSBORO, OR 97124-7837
(503) 531-1700
Mailing address
10315 NE TANASBOURNE DR STE 300, HILLSBORO, OR 97124-7837
(503) 531-1700
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
120318
OR
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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