Whalio Doctors

NPI 1013465566

Kristina Petersen, RDH

Practitioner Dental Hygienist Beaverton, OR

Practice location

Address
13000 SW 2nd St, Beaverton, OR 97005-2615
Phone
(503) 259-5045
Mailing address
PO Box 568, Cornelius, OR 97113-0568

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence H7310 (OR)

Registry record

NPI
1013465566
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Sep 2016
Record last updated
13 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.