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Individual

KRISA FENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
5 CENTERPOINTE DR STE 600, LAKE OSWEGO, OR 97035-8662
(615) 465-9443
Mailing address
5 CENTERPOINTE DR STE 600, LAKE OSWEGO, OR 97035-8662

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202011146NP-PP
OR

Other

Enumeration date
01/13/2021
Last updated
01/13/2021
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