JAN L LANDIS

PORTLAND, OR
NPI1730307919
Former NameJAN L KERN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy126800000X Dental Assistant
(Licence: OR  A0038)
Enumeration Date2007-04-23
Last Update Date2007-07-08
Business Address
Mrs. JAN L LANDIS EFDA
7201 N INTERSTATE AVE
PORTLAND, OR 97217-5523
Phone number: 503-240-4051
Mailing Address
Mrs. JAN L LANDIS EFDA
8065 SW FAIRWAY DR
WILSONVILLE, OR 97070-6431
Phone number: 503-240-4051
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