Individual
ALEXANDRA MARIA JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
33 NW BROADWAY, SUITE 380, PORTLAND, OR 97209-3580
(503) 988-5770
Mailing address
421 SW STARK ST, 9TH FLOOR DENTAL, PORTLAND, OR 97204-2302
(503) 988-5770
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4182
OR
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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