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NPI 1104462340

IndividualActive

Amanda Jenkins

NPI 1104462340 · Dental Assistant · Beaverton, OR

Provider details

NPI number: 1104462340
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Sex: Female
Sole proprietor: No
License: 120622 (OR)

Practice location

17675 Sw Tv Hwy

Beaverton, OR 97003-4443

Phone: (503) 259-3160

More OR providers

Mailing address

484 N 10th St

Saint Helens, OR 97051-1311

Registry dates

Enumerated: 2019-11-22
Last updated: 2019-11-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Amanda Jenkins — NPI 1104462340, Beaverton, OR | NPI Central