Individual
JESSICA N LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EPRDH
Contact information
Practice address
7460 SW HUNZIKER RD STE H, PORTLAND, OR 97223-8244
(503) 521-7166
Mailing address
23120 SW GREENGATE PL, SHERWOOD, OR 97140-6307
(503) 753-4149
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4798
OR
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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