Active NPI
Jennifer Wilkeson
- Dental Hygienist
- Portland, OR
National Provider Identifier
1508250366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H6814
- Practice address
- 3500 NE Martin Luther King Jr Blvd
Portland, OR 97212-2093 - Phone
- (503) 765-7355
- NPI assigned
- Mar 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H6814 | OR | Primary |
Addresses
Primary practice location
3500 NE Martin Luther King Jr Blvd
Portland, OR 97212-2093
Mailing address
57502 Alder Creek Rd
Scappoose, OR 97056-2121
Phone (503) 543-4035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H6814 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1508250366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57502 ALDER CREEK RD",
"city": "SCAPPOOSE",
"state": "OR",
"postal_code": "970562121",
"telephone_number": "503-543-4035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 NE MARTIN LUTHER KING JR BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972122093",
"telephone_number": "503-765-7355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKESON",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-18",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H6814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.