Individual
KIRSTIN STROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7017 SW NYBERG ST STE P-46, TUALATIN, OR 97062-6243
(503) 612-8736
Mailing address
2141 SW HARBOR PL, PORTLAND, OR 97201-8021
(715) 410-7230
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11337
OR
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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