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VELLA L JACKSON DA
NPI 1285379289
Dental Assistant in Portland, OR

Active since May 03, 2022
12750 SE STARK ST BLDG E, PORTLAND, OR 97233(971) 347-3009(971) 256-3277 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2022, May 3, 2022 (2 updates tracked since 2022).

About Vella L Jackson Da NPPES

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

VELLA L JACKSON DA (NPI 1285379289) is an individual dental assistant in Portland, Oregon and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1285379289
Entity TypeIndividualFemale
Primary Taxonomy126800000X
Provider Legal NameVELLA L JACKSONCredential: DA
Location Address12750 SE STARK ST BLDG EPortland, OR 97233-1539
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235
Phone(971) 347-3009
Fax(971) 256-3277
Sole ProprietorNo
Enumeration DateMay 3, 2022
Last NPPES UpdateJuly 11, 20222 updates tracked since enumeration
NPPES CertifiedJuly 11, 2022
✔ NPI 1285379289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
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.
12750 SE STARK ST BLDG E, Portland, OR 97233
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Other Providers at the Same Location NPPES 20

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

SHAWNA LEBECHUCK-FISK DENTAL ASSISTANT
Dental Assistant
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
ACOSIA SIREWOP-LOPEZ DA
Dental Assistant
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
RACHEL J MORSETTE DA
Dental Assistant
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
JOURDAN L BURKLUND RDH
Dental Hygienist
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
LANAE D WASHBURN RDH
Dental Hygienist
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
PETER CLAIR ROBINSON WIDMER
Dental Assistant
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
NATIVE AMERICAN REHABILITATION ASSOC INC
Clinic/Center (Federally Qualified Health Center (FQHC))
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009
SANTE L VAN METER DA
Dental Assistant
12750 SE STARK ST BLDG E
PORTLAND, OR 97233
Multnomah County (971) 347-3009

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 Vella Jackson's NPI number?

The NPI number for Vella Jackson is 1285379289. It was assigned to this individual provider in the NPPES registry on May 3, 2022.

Where is Vella Jackson located?

Vella Jackson practices at 12750 SE Stark St Bldg E, Portland, OR 97233. The listed phone number is (971) 347-3009.

What is Vella Jackson's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Vella Jackson was last updated on July 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.