Bethany D Jackson

NPI #1124774369 in Corvallis, Oregon

Provider Information

NPI Number: 1124774369
Entity Type: Individual
Name: Bethany D Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Feb 25, 2022
Last Updated: Feb 25, 2022

Practice Location

Address: 530 NW 27TH ST
City: Corvallis
State: Oregon
ZIP Code: 97330-5223
Phone: (541) 766-6835

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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