Jourdan L Burklund
Dental Hygienist
12750 Se Stark St Bldg E
Portland
, Oregon 97233-1539
Jourdan L Burklund
Dental Hygienist
12750 Se Stark St Bldg E
Portland
, Oregon 97233-1539
(503) 926-4584
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Jourdan L Burklund
- 4631 Sw Luradel St Apt 38
- Portland, OR
- Zip : 97219-6838
- Phone : (503) 926-4584
Second Address
- Jourdan L Burklund
- 12750 Se Stark St Bldg 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 | 124Q00000X | Dental Hygienist | H7231 | OR |
National Provider Identifier
| NPI | 1043759616 |
|---|---|
| Provider Name | Jourdan L Burklund |
| First Address | Portland, OR 97219-6838 |
| Second Address | Portland, OR 97233-1539 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/02/2017 |
| Last Update Date | 03/12/2019 |
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.