Individual
JESSICA STEELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
442 SW UMATILLA AVE STE 200, REDMOND, OR 97756-7039
(541) 516-6941
Mailing address
442 SW UMATILLA AVE STE 200, REDMOND, OR 97756-7039
(541) 516-6941
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH-2200
ID
124Q00000X
Dental Hygienist
Primary
H5674
OR
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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