Kristina Petersen, RDH

NPI #1013465566 in Beaverton, Oregon

Provider Information

NPI Number: 1013465566
Entity Type: Individual
Name: Kristina Petersen, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Sep 13, 2016
Last Updated: Sep 13, 2016

Practice Location

Address: 13000 SW 2ND ST
City: Beaverton
State: Oregon
ZIP Code: 97005-2615
Phone: (503) 259-5045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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