Individual provider · Type 1 NPI

Jennifer Ann Myers, DA

Dental Assistant · Portland, OR

NPI number 1487536397 Active

Practice location

12750 SE Stark St Bldg E
Portland, OR 97233-1539

Call (971) 347-3009 Map

Fax (971) 256-3277

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000X115004 (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 1487536397

Jennifer Ann Myers, DA's National Provider Identifier is 1487536397, issued on Jul 22, 2025. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Portland, OR. The record was last updated on Jul 22, 2025.