IndividualActive
Jennifer Dole, D.M.D.
NPI 1780064485 · Pediatric Dentistry · Portland, OR
Provider details
- NPI number
- 1780064485
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- D10654 (OR)
Specialties & taxonomies
Dental Providers
Practice location
2534 Sw Ravensview Dr
Portland, OR 97201-1756
Phone: (818) 324-1597
Approximate (ZIP-level) locationGet directions
Mailing address
2534 Sw Ravensview Dr
Portland, OR 97201-1756
Registry dates
- Enumerated
- 2015-06-08
- Last updated
- 2024-09-04
- Certified
- 2024-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.