Individual provider · Type 1 NPI

Jolene Mouritsen, EFDA

Dental Assistant · Salem, OR

NPI number 1609089606 Active

Practice location

5135 Skyline Rd. S.
Salem, OR 97306

Call (503) 588-6560 Map

Mailing address

4892 Liberty Rd. S. #177
Salem, OR 97306

Specialties and licenses

Taxonomy	Code	License
Dental Assistant Primary	126800000X	114153 (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 1609089606

Jolene Mouritsen, EFDA's National Provider Identifier is 1609089606, issued on May 7, 2007. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Salem, OR. The record was last updated on Jul 8, 2007.