Individual
KREA FETTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
967 NE ORENCO STATION LOOP APT 343, HILLSBORO, OR 97124-7482
Mailing address
967 NE ORENCO STATION LOOP APT 343, HILLSBORO, OR 97124-7482
19712530120
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6609
OR
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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