NPI 1003983362

Kathleen Marie Jackson, RDH

Practitioner Dental Hygienist Beaverton, OR

Practice location

Address: 17675 SW Tualatin Valley Hwy, Beaverton, OR 97006-4443
Phone: (503) 259-3160
Fax: (503) 259-3169
Mailing address: 20878 SW Eggert Way, Aloha, OR 97007-2162

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence H3677 (OR)

Other Dental Hygienist providers in Oregon →

Registry record

NPI: 1003983362
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.