Individual provider · Type 1 NPI

Jean Rae Custer, RDH

Dental Hygienist · Portland, OR

NPI number 1013066976 Active

Practice location

10317 E Burnside St, 2nd Floor
Portland, OR 97216-2733

Call (503) 988-3905 Map

Mailing address

710 SW 6th Ct
Portland, OR 97219-6562

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X1255 (OR)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1013066976

Jean Rae Custer, RDH's National Provider Identifier is 1013066976, issued on Jan 9, 2007. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.