Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaclyn Liese, RDH

Individual provider Dental Hygienist · NPI 1750041760

Jaclyn Liese, RDH is a Dental Hygienist in Ferndale, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2021
What do these letters mean?
RDH — Registered Dental Hygienist
A licensed hygienist who cleans teeth and screens for oral disease.

See every abbreviation used in this directory →

Practice location Address checks out

6060 Portal Way
Ferndale, WA 98248-7833
Phone: (360) 676-6177
Fax: (360) 671-3574
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence DEHY.DH.61078723 (WA)

Record details

NPI number1750041760
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDH
Sole proprietorYes
NPI enumeratedDecember 19, 2021
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 19, 2022
Mailing address1616 Cornwall Ave Ste 215, Bellingham, WA 98225-4648

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