Kathleen Marie Jackson, RDH

NPI #1003983362 in Beaverton, Oregon

Provider Information

NPI Number: 1003983362
Entity Type: Individual
Name: Kathleen Marie Jackson, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Nov 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 17675 SW TUALATIN VALLEY HWY
City: Beaverton
State: Oregon
ZIP Code: 97006-4443
Phone: (503) 259-3160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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