Jennifer P Allbright, RDH
Individual provider Active NPI Dental Hygienist · Tillamook, OR
NPI 1700530243 · NPPES record last updated Feb 3, 2022
Key facts
- NPI
- 1700530243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- Practice address
- 805 Ivy Ave Ste B
Tillamook, OR 97141-3758 - Phone
- (503) 842-3929
- Fax
- (503) 842-6099
- NPI assigned
- Feb 3, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | Yes |
Addresses
Primary practice location
805 Ivy Ave Ste B
Tillamook, OR 97141-3758
Mailing address
PO Box 489
Tillamook, OR 97141-0489
Phone (503) 842-3929
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417568668 | Medicaid | OR |
Other names
- Jennifer P Baker
Other providers in Tillamook, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.