Jennifer Main, RDH

NPI #1073959946 in Beaverton, Oregon

Provider Information

NPI Number: 1073959946
Entity Type: Individual
Name: Jennifer Main, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: May 17, 2013
Last Updated: Feb 3, 2014

Practice Location

Address: 4655 SW GRIFFITH DR
City: Beaverton
State: Oregon
ZIP Code: 97005-8728
Phone: (503) 614-0014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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