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Jessica Shelnutt — NPI 1912557117, Clackamas, OR | NPI Central

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NPI 1912557117

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Jessica Shelnutt

NPI 1912557117 · Periodontics · Clackamas, OR

Provider details

NPI number: 1912557117
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Sex: Female
Sole proprietor: No
License: 000412 (OR)

Specialties & taxonomies

PeriodonticsPrimary1223P0300XLicense 000412 (OR)
Dental Providers

Practice location

10209 Se Sunnyside Rd

Clackamas, OR 97015-9782

Phone: (503) 353-3905

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

5025 Se 28th Ave

Portland, OR 97202-4445

Additional practice locations (1)

5025 Se 28th Ave
Portland, OR 97202-4445
Phone: (503) 286-6868

Registry dates

Enumerated: 2019-09-19
Last updated: 2019-09-19

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