Individual
JESSICA MARIE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
301 SW BELAIR DR, CLATSKANIE, OR 97016-7414
(503) 728-2137
(503) 728-3023
Mailing address
301 SW BELAIR DR, PO BOX 899, CLATSKANIE, OR 97016-7414
(503) 728-2137
(503) 728-3023
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10442
OR
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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