Individual
JESSICA RUTH RUVALCABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 448-6118
Mailing address
989 SAGRADA CIR N, KEIZER, OR 97303-3784
(503) 339-5700
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5064
OR
Other
Enumeration date
10/20/2018
Last updated
10/25/2019
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