NPI 1013465566
Kristina Petersen, RDH
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
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.