Vella L Jackson, DA
Vella L Jackson, DA is a Dental Assistant in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2022.
- Licensed in
- OR
- In the registry since
- 2022
Practice location Address checks out
12750 SE Stark St Bldg EPortland, OR 97233-1539
Phone: (971) 347-3009
Fax: (971) 256-3277
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Assistant (primary) | Taxonomy 126800000X (OR) |
|---|
Record details
| NPI number | 1285379289 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DA |
| Sole proprietor | No |
| NPI enumerated | May 3, 2022 |
| Last updated in NPPES | July 11, 2022 |
| Certification date | July 11, 2022 |
| Mailing address | 1776 Sw Madison St, Portland, OR 97205-1715 |
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