Individual
MS. JENNIFER EVA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
73265 CONFEDERATED WAY, PENDLETON, OR 97801
(541) 966-9830
Mailing address
411 NW 10TH ST, PENDLETON, OR 97801-1357
(541) 276-2009
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4174
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171037
—
OR
Enumeration date
09/05/2006
Last updated
03/10/2011
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