Jennifer Monique Wakumelo
Dental Assistant
17675 Sw Tv Hwy
Beaverton
, Oregon 97006
Jennifer Monique Wakumelo
Dental Assistant
17675 Sw Tv Hwy
Beaverton
, Oregon 97006
(503) 259-3169
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Jennifer Monique Wakumelo
- 17675 Sw Tv Hwy
- Beaverton, OR
- Zip : 97006
- Fax : (503) 259-3169
- Phone : (503) 259-3160
Second Address
- Jennifer Monique Wakumelo
- 17675 Sw Tv Hwy
- Beaverton, OR
- Zip : 97006
- Fax : (503) 259-3169
- Phone : (503) 259-3160
Reviews
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Is Jennifer Monique Wakumelo a sole practitioner?
Is Jennifer Monique Wakumelo accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 118652 | OR |
National Provider Identifier
| NPI | 1245635283 |
|---|---|
| Provider Name | Jennifer Monique Wakumelo |
| First Address | Beaverton, OR 97006 |
| Second Address | Beaverton, OR 97006 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/11/2014 |
| Last Update Date | 04/11/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.