Individual
DR. JESS W BLANKENSHIP
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3506 N LOMBARD ST, PORTLAND, OR 97217-5902
(503) 289-0230
(503) 286-5055
Mailing address
3506 N LOMBARD ST, PORTLAND, OR 97217-5902
(503) 289-0230
(503) 286-5055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5866
OR
Other
Enumeration date
10/27/2005
Last updated
07/08/2007
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