IndividualActive
Jennifer Mcclellan
NPI 1962557462 · Dental Assistant · Gresham, OR
Provider details
- NPI number
- 1962557462
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Practice location
360 Nw Burnside Rd
Gresham, OR 97030-3852
Phone: (503) 667-7480
Approximate (ZIP-level) locationGet directions
Mailing address
2317 Se 85th Ave
Portland, OR 97216-2002
Registry dates
- Enumerated
- 2007-01-24
- 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.