Individual provider · Type 1 NPI

Jan L. Landis, EFDA

Dental Assistant · Portland, OR

NPI number 1730307919 Active

Practice location

7201 N Interstate Ave
Portland, OR 97217-5523

Call (503) 240-4051 Map

Fax (503) 286-6876

Mailing address

8065 SW Fairway Dr
Wilsonville, OR 97070-6431

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000XA0038 (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 1730307919

Jan L. Landis, EFDA's National Provider Identifier is 1730307919, issued on Apr 23, 2007. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.