IndividualActive
Jan Landis, EFDA
NPI 1730307919 · Dental Assistant · Portland, OR
Provider details
- NPI number
- 1730307919
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- EFDA
- Sex
- Female
- Sole proprietor
- Yes
- License
- A0038 (OR)
Specialties & taxonomies
Dental Providers
Practice location
7201 N Interstate Ave
Portland, OR 97217-5523
Phone: (503) 240-4051
Fax: (503) 286-6876
Approximate (ZIP-level) locationGet directions
Mailing address
8065 Sw Fairway Dr
Wilsonville, OR 97070-6431
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.