Individual
DR. JENNIFER LYNN CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
408 LANCASTER DR NE, SALEM, OR 97301-4728
(503) 362-3032
(503) 362-4647
Mailing address
250 MIRASOL AVE SE, SALEM, OR 97306-8593
(503) 689-6050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8835
OR
122300000X
Dentist
DS036047
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278461
—
OR
Enumeration date
12/07/2005
Last updated
11/25/2008
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