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NPI 1487536397

IndividualActive

Jennifer Myers, DA

NPI 1487536397 · Dental Assistant · Portland, OR

Provider details

NPI number: 1487536397
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Credential: DA
Sex: Female
Sole proprietor: No
License: 115004 (OR)

Practice location

12750 Se Stark St Bldg E

Portland, OR 97233-1539

Phone: (971) 347-3009

Fax: (971) 256-3277

More OR providers

Mailing address

211 Se Caruthers St

Portland, OR 97214-4502

Registry dates

Enumerated: 2025-07-22
Last updated: 2025-07-22

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

Jennifer Myers, DA — NPI 1487536397, Portland, OR | NPI Central