Individual
JENNIFER LYNN HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1600 NW GARDEN VALLEY BLVD STE 110, ROSEBURG, OR 97471-8709
(541) 673-0611
Mailing address
3949 STRICKLAND CANYON RD, ROSEBURG, OR 97471-9768
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6124
OR
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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