Individual
DR. JONATHAN JELMINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8916
(503) 494-6783
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8916
(503) 494-6783
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D10527
OR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD219104
OR
Other
Enumeration date
09/09/2016
Last updated
07/17/2025
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