JESSICA ELAINE SHELNUTT


Address: 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782
Phone: 5033533905

JESSICA ELAINE SHELNUTT (NPI# 1912557117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912557117
Entity Type Individual
Full Name JESSICA ELAINE SHELNUTT
Practice Address 10209 Se Sunnyside Rd
Clackamas
OR 97015-9782
Mailing Address 5025 Se 28th Ave
Portland
OR 97202-4445
Practice Telephone 5033533905
Mailing Telephone 5032866868
Enumeration Date 2019-09-19
Last Update Date 2019-09-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
000412 OR Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5025 Se 28th Ave, Portland, OR 972024445 5032866868

Other Providers JESSICA SHELNUTT

NPI Name Taxonomy Address Enumeration
1447806229 Jessica Stephens Shelnutt Physical Therapist 5415 Thompsons Mill Rd, Hoschton, GA 30548-4132 2019-08-16
1083091276 Jessica Shelnutt Physician Assistant 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 2015-04-27

Office Location

Street Address 10209 SE SUNNYSIDE RD
City CLACKAMAS
State OR
Zip Code 97015-9782

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184640062 Harold Dean Geist Dentist 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 2006-07-14
1356972921 Shi Li Luo Dental Hygienist 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 2020-01-31
1083256630 Laura Ann Schaffner Dental Hygienist 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 2019-10-15
1205487329 Sylvia Hill Dental Assistant 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 2019-09-20
1083187967 Rose Booth Dental Assistant 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 2019-01-03
1043783913 Jessica Nicole Hughes Dental Assistant 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 2019-01-03
1588137459 Erin Mccormack Dental Assistant 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 2019-01-03
1356878771 Stacey Irene Inloes Dental Assistant 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 2017-05-16
1619429842 Kaiser Foundation Health Plan of The Northwest Dentist 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 2016-11-04
1235688474 Tamie Resare Dental Assistant 10209 Se Sunnyside Rd, Clackamas, OR 97015-9782 2016-09-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184103517 Laurel Perilli Physical Therapist 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 2018-08-07
1306324538 Kristin Connor Messing Physical Therapist 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 2018-07-31
1902317266 Darcy Jones Hamrick Counselor 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 2017-10-13
1841723384 Manon Lavoie Chiropractor 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 2017-04-11
1235670126 Michael G Short Pedorthist 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 2017-03-13
1487100756 Michael Joseph Peizner Pharmacist 16300se Evelyn Street, Clackamas, OR 97015 2016-08-28
1316395619 Jennifer Elaine Walkowski Physical Therapist 9100 Se Sunnyside Road, Clackamas, OR 97015 2016-05-26
1649635384 Brookside Dental - Milwaukie, LLC Dentist 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 2015-12-23
1801216130 Robert D. Grew Dmd, Inc. Dentist 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 2014-04-25
1508205410 Valerie P Tabalno Massage Therapist 15661 Se 82nd Dr, Clackamas, OR 97015 2013-06-25
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669479416 David W Compton Dentist 10163 Se Sunnyside Rd, Suite 450, Clackamas, OR 97015-5743 2005-07-07
1992099964 David W. Compton, Dmd, Ms, PC Dentist 10163 Se Sunnyside Rd, Suite 450, Clackamas, OR 97015-5743 2011-06-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871026062 Leila Soltani Dentist 430 Sw 13th Ave Apt 2010, Portland, OR 97205 2017-04-05
1427504828 Shashank Joshi Dentist 1739 W Harvard Ave, Roseburg, OR 97471-2716 2016-08-26
1982056479 Mari Heslinga Dentist 21332 Sw Langer Farms Pkwy Ste 126, Sherwood, OR 97140 2016-07-07
1376944314 Mikhail Garibov Dentist 17895 Nw Evergreen Pkwy Ste 130, Beaverton, OR 97006-7402 2014-09-09
1548671340 Polaris Dental Specialists Dentist 620 12th Street Se, Salem, OR 97301 2014-05-14
1295159986 Andrew N Dow Dmd PC Dentist 4750 Village Plaza Loop Ste 102, Eugene, OR 97401-6601 2014-02-14
1043581465 Riverplace Periodontics PC Dentist 2636 Se Harrison Street, Suite A, Milwaukie, OR 97222 2012-01-17
1730472986 Wilson D Lee Dentist 315 Nw Lost Springs Ter, #401, Portland, OR 97229-6444 2011-05-20
1184954422 Kamran Haghighat Bds Ms PC Dentist 833 Sw 11th Ave Ste 1020, Portland, OR 97205-2124 2010-01-08
1467683276 Sunny L Drake Dentist 2235 Mission St Se Ste 250, Salem, OR 97302-1294 2009-07-29
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Competitor

Search similar providers

City CLACKAMAS
Zip Code 97015

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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