NPI 1104462340

Amanda Noelle Jenkins

Practitioner Dental Assistant Beaverton, OR

Practice location

Address: 17675 SW Tv Hwy, Beaverton, OR 97003-4443
Phone: (503) 259-3160
Mailing address: 484 N 10th St, Saint Helens, OR 97051-1311

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 120622 (OR)

Other Dental Assistant providers in Oregon →

Registry record

NPI: 1104462340
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Nov 2019
Record last updated: 22 Nov 2019

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.