JACQUELINE JANE BURKHART

GRESHAM, OR
NPI1871758219
Other NameJACKI BURKHART
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H4808)
Enumeration Date2008-07-24
Last Update Date2008-07-24
Business Address
Ms. JACQUELINE JANE BURKHART RDH
360 NW BURNSIDE RD
GRESHAM, OR 97030-3852
Phone number: 503-667-7480
Mailing Address
Ms. JACQUELINE JANE BURKHART RDH
19765 SE TICKLE CREEK RD
BORING, OR 97009-9516
Phone number: 503-866-4520