BETHANY D JACKSON

CORVALLIS, OR
NPI1124774369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H7018)
Enumeration Date2022-02-25
Last Update Date2022-02-25
Business Address
BETHANY D JACKSON
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
Mailing Address
BETHANY D JACKSON
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835