Individual
JESSICA DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2529 E 12TH ST, THE DALLES, OR 97058
(541) 980-7704
Mailing address
13241 SE RANSTAD CT., MILWAUKIE, OR 97222
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6221
OR
Other
Enumeration date
06/15/2015
Last updated
05/31/2018
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