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JENNIFER MONIQUE WAKUMELO E.F.D.A.
NPI 1245635283
Dental Assistant in Beaverton, OR

Active since November 04, 2014
17675 SW TV HWY, BEAVERTON, OR 97006(503) 259-3160(503) 259-3169 Get Directions Write a Review

NPPES record last updated: November 4, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer Monique Wakumelo E.f.d.a. NPPES

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

JENNIFER MONIQUE WAKUMELO E.F.D.A. (NPI 1245635283) is an individual dental assistant in Beaverton, Oregon, licensed in Oregon (118652) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1245635283
Entity TypeIndividualFemale
Primary Taxonomy126800000X
Provider Legal NameJENNIFER MONIQUE WAKUMELOCredential: E.F.D.A.
Location Address17675 SW TV HWYBeaverton, OR 97006
Mailing Address17675 Sw Tv HwyBeaverton, OR 97006 · (503) 259-3160 · Fax (503) 259-3169
Phone(503) 259-3160
Fax(503) 259-3169
Sole ProprietorNo
Enumeration DateNovember 4, 2014
✔ NPI 1245635283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
License✔ Licensed in OR · 118652
Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

17675 SW TV HWY, Beaverton, OR 97006
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Other Providers at the Same Location NPPES 2

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

MS. PATSY-LYNN RAGONESE RDH
Dental Hygienist
17675 SW TV HWY
BEAVERTON, OR 97006
Washington County (503) 515-6818
SUSAN KAY GRAY RDH
Dental Hygienist
17675 SW TV HWY
ALOHA, OR 97006
Washington County (503) 259-3160

Frequently Asked Questions

What is Jennifer Wakumelo's NPI number?

The NPI number assigned to this healthcare provider is 1245635283, enumerated as an "individual" on November 04, 2014.

Where is the provider located?

The provider is located at 17675 SW TV HWY BEAVERTON, OR 97006 and the phone number is (503) 259-3160.

What is the provider's specialty?

Dental Assistant with taxonomy code 126800000X.