Individual
JENNIFER MINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 SE 8TH AVE, HILLSBORO, OR 97123-4218
(503) 352-6151
Mailing address
7246 SW WOODBURY LOOP, WILSONVILLE, OR 97070-6902
(503) 960-3796
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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