Individual
MS. JESSICA ALICIA TIMBERLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2400 LANCASTER DR NE, SALEM, OR 97305-1221
(503) 361-5400
Mailing address
2715 GILBERT ST, SALEM, OR 97302
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6534
OR
Other
Enumeration date
09/30/2013
Last updated
04/21/2022
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