Search › Oregon › 124Q00000X
Jessica Brocanelli, RDH
NPI 1669055273 · on the registry since 2021
Practice
- Address
- 1933 Sw Jefferson St
Portland, OR 97201 - Phone
- (855) 433-6825
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon