Individual
JASEN SCOTT DEBRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1640 G ST, SPRINGFIELD, OR 97477
(541) 484-2046
(801) 798-1186
Mailing address
1640 G ST, SPRINGFIELD, OR 97477
(541) 484-2046
(801) 798-1186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12095
OR
Other
Enumeration date
07/14/2021
Last updated
12/04/2025
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