Individual
MRS. KRISTA V BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
17675 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97006-4443
(503) 286-6868
Mailing address
17675 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97006-4443
(503) 286-6868
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
118212
OR
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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