Individual
JESSICA BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4225 SW 109TH AVE, BEAVERTON, OR 97005-3028
(503) 644-3188
Mailing address
8305 SW 133RD AVE, BEAVERTON, OR 97008-6801
(661) 492-5029
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6365
OR
Other
Enumeration date
05/30/2016
Last updated
05/30/2016
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