Jessica Anne Kelso
Dental Assistant Dental Hygienist
365 Warner Milne Rd
Oregon City
, Oregon 97045-4073
Jessica Anne Kelso
Dental Assistant Dental Hygienist
365 Warner Milne Rd
Oregon City
, Oregon 97045-4073
(503) 624-9610
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About
Features
Specialties
- Dental Hygienist
- Dental Assistant
Languages spoken
- English
Location
First Address
- Jessica Anne Kelso
- 7105 Sw Hampton St
- Tigard, OR
- Zip : 97223-8314
- Fax : (503) 624-9610
- Phone : (503) 684-9274
Second Address
- Jessica Anne Kelso
- 365 Warner Milne Rd
- Oregon City, OR
- Zip : 97045-4073
- Phone : (503) 810-0328
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H7596 | OR |
| N | 126800000X | Dental Assistant | OR |
National Provider Identifier
| NPI | 1255694915 |
|---|---|
| Provider Name | Jessica Anne Kelso |
| First Address | Tigard, OR 97223-8314 |
| Second Address | Oregon City, OR 97045-4073 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2012 |
| Last Update Date | 13/01/2020 |
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.