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Contact Information

JONATHAN JELMINI, DDS, MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR97239-3011
 Phone: 503-494-8916
 Fax: 503-494-6783
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for JONATHAN JELMINI · (Male)

NPI Number 1477000164
Status Active
Credentials DDS, MD
Entity Individual
Enumeration date 09/09/2016
Last updated 07/17/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • OR License # D10527
  • OR License # MD219104
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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