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Jennifer Mcguire, PTDA — NPI 1245580497, Portland, OR | NPI Central

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NPI 1245580497

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Jennifer Mcguire, PTDA

NPI 1245580497 · Dental Assistant · Portland, OR

Provider details

NPI number: 1245580497
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Credential: PTDA
Sex: Female
Sole proprietor: Yes
License: 113482 (OR)

Specialties & taxonomies

Dental AssistantPrimary126800000XLicense 113482 (OR)
Dental Providers

Practice location

5025 Se 28th Ave

Portland, OR 97202-4445

Phone: (503) 238-4418

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

1892 Sw 27th Dr

Gresham, OR 97080-9544

Registry dates

Enumerated: 2012-09-14
Last updated: 2012-09-14

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