IndividualActive
Jessicah Brick, RDH
NPI 1699105494 · Dental Hygienist · Portland, OR
Provider details
- NPI number
- 1699105494
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- License
- H6522 (OR)
Specialties & taxonomies
Dental Providers
Practice location
5025 Se 28th Ave
Portland, OR 97202
Phone: (503) 975-5603
Approximate (ZIP-level) locationGet directions
Mailing address
5025 Se 28th Ave
Portland, OR 97202-4445
Registry dates
- Enumerated
- 2013-11-15
- Last updated
- 2018-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.