Individual
MRS. JENNIFER ANN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1174 MOLALLA AVE, OREGON CITY, OR 97045-3770
(503) 656-6464
Mailing address
22314 SW MANDAN DR, TUALATIN, OR 97062-7371
(503) 819-0459
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5660
OR
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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