Individual provider · Type 1 NPI

Jennifer Monique Wakumelo, E.F.D.A.

Dental Assistant · Beaverton, OR

NPI number 1245635283 Active

Practice location

17675 SW Tv Hwy
Beaverton, OR 97006

Fax (503) 259-3169

Specialties and licenses

Taxonomy	Code	License
Dental Assistant Primary	126800000X	118652 (OR)

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

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About NPI 1245635283

Jennifer Monique Wakumelo, E.F.D.A.'s National Provider Identifier is 1245635283, issued on Nov 4, 2014. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Beaverton, OR. The record was last updated on Nov 4, 2014.