KATHLEEN MARIE JACKSON

BEAVERTON, OR
NPI1003983362
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H3677)
Enumeration Date2006-11-29
Last Update Date2007-07-08
Business Address
-- KATHLEEN MARIE JACKSON RDH
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006-4443
Phone number: 503-259-3160
Mailing Address
-- KATHLEEN MARIE JACKSON RDH
20878 SW EGGERT WAY
ALOHA, OR 97007-2162
Phone number: 503-848-7296
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