Individual
JESSICA R STRATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DA
Contact information
Practice address
12750 SE STARK ST, BUILDING E, PORTLAND, OR 97233-1539
(971) 347-3009
(971) 256-3277
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(971) 386-2278
(503) 224-4494
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
120612
OR
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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