Jessica R Stratton
Dental Assistant
12750 Se Stark St Building E
Portland
, Oregon 97233-1539
Jessica R Stratton
Dental Assistant
12750 Se Stark St Building E
Portland
, Oregon 97233-1539
(503) 224-4494
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Jessica R Stratton
- 1776 Sw Madison St
- Portland, OR
- Zip : 97205-1715
- Fax : (503) 224-4494
- Phone : (971) 386-2278
Second Address
- Jessica R Stratton
- 12750 Se Stark St Building E
- Portland, OR
- Zip : 97233-1539
- Fax : (971) 256-3277
- Phone : (971) 347-3009
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 120612 | OR |
National Provider Identifier
| NPI | 1346790284 |
|---|---|
| Provider Name | Jessica R Stratton |
| First Address | Portland, OR 97205-1715 |
| Second Address | Portland, OR 97233-1539 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2016 |
| Last Update Date | 04/10/2016 |
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.