VELLA L JACKSON

PORTLAND, OR
NPI1285379289
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
Enumeration Date2022-05-03
Last Update Date2022-07-11
Business Address
VELLA L JACKSON DA
12750 SE STARK ST BLDG E
PORTLAND, OR 97233-1539
Phone number: 971-347-3009
Mailing Address
VELLA L JACKSON DA
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044