Individual
DR. KRISTINA MELODY LASSFOLK BETTENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1101 GRANTS PASS PKWY, GRANTS PASS, OR 97526-2359
(541) 474-7234
(541) 474-7240
Mailing address
1101 GRANTS PASS PKWY, GRANTS PASS, OR 97526-2359
(541) 474-7234
(541) 474-7240
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014938
OR
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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