KATHLEEN MARIE JACKSON RDH
NPI 1003983362
Dental Hygienist in Beaverton, OR

Active since November 29, 2006
17675 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97006(503) 259-3160(503) 259-3169 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen Marie Jackson Rdh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN MARIE JACKSON RDH (NPI 1003983362) is an individual dental hygienist in Beaverton, Oregon, licensed in Oregon (H3677) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1003983362
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameKATHLEEN MARIE JACKSONCredential: RDH
Location Address17675 SW TUALATIN VALLEY HWYBeaverton, OR 97006-4443
Mailing Address20878 Sw Eggert WayAloha, OR 97007-2162 · (503) 848-7296 · Fax (503) 259-3169
Fax(503) 259-3169
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1003983362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License Licensed in OR · H3677
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
17675 SW TUALATIN VALLEY HWY, Beaverton, OR 97006

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dental Hygienist
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006
Dentist (Pediatric Dentistry)
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006
Dental Assistant
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006
Dental Hygienist
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006
Dental Hygienist
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006
Dental Assistant
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006
Dentist (General Practice)
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006
Dental Hygienist
17675 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Jackson's NPI number?

The NPI number for Kathleen Jackson is 1003983362. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Kathleen Jackson located?

Kathleen Jackson practices at 17675 SW Tualatin Valley Hwy, Beaverton, OR 97006. The listed phone number is (503) 259-3160.

What is Kathleen Jackson's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Kathleen Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.