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JESSICA ELAINE SHELNUTT
NPI 1912557117
Dentist - Periodontics in Clackamas, OR

Active since September 19, 2019
10209 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 353-3905 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Elaine Shelnutt NPPES

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

JESSICA ELAINE SHELNUTT (NPI 1912557117) is an individual periodontics provider in Clackamas, Oregon, licensed in Oregon (000412) and active in the NPI registry since September 2019. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1912557117
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameJESSICA ELAINE SHELNUTT
Location Address10209 SE SUNNYSIDE RDClackamas, OR 97015-9782
Mailing Address5025 Se 28th AvePortland, OR 97202-4445 · (503) 286-6868
Phone(503) 353-3905
Sole ProprietorNo
Enumeration DateSeptember 19, 2019
✔ NPI 1912557117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in OR · 000412
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.
10209 SE SUNNYSIDE RD, Clackamas, OR 97015
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Secondary Practice Location 1

Location 15025 SE 28th AvePortland, OR 97202-4445 · Phone (503) 286-6868

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.

KAISER PERMAMANTE
Dental Assistant
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 353-3900
MRS. CINDY LOU NONAMAKER RDH
Dental Hygienist
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 353-3900
MRS. JUSTINE E WALSTON
Dental Assistant
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
JOY M IMHOLT
Dentist (Pediatric Dentistry)
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 353-3900
MRS. RACHEL LYNN PENA RDH
Dental Hygienist
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 353-3900
MRS. HEIDI VANESSA JOHNSON
Dental Assistant
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 353-3900
JESSICA NICOLE HUGHES
Dental Assistant
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 353-3900
DR. DAVID KENNETH WALKER DMD
Dentist (General Practice)
10209 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 353-3900

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 Jessica Shelnutt's NPI number?

The NPI number for Jessica Shelnutt is 1912557117. It was assigned to this individual provider in the NPPES registry on September 19, 2019.

Where is Jessica Shelnutt located?

Jessica Shelnutt practices at 10209 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 353-3905.

What is Jessica Shelnutt's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Jessica Shelnutt was last updated on September 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.