NPI 1023377819

Kelly Jean Jordan, EFDA

Practitioner Dental Hygienist Salem, OR

Practice location

Address: 2300 Lancaster Dr NE, Salem, OR 97305-1223
Phone: (503) 370-4313
Mailing address: 932 Dearborn Ave N, Keizer, OR 97303-6326

Registered specialties (2)

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 6265 (OR)

Other Dental Hygienist providers in Oregon →

Dental Assistant

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1023377819
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 May 2012
Record last updated: 10 Sep 2012

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.