Individual
MS. KRISTIN GAI FEDOROV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
5015 DILLARD RD, EUGENE, OR 97405-4404
(541) 999-0306
Mailing address
5015 DILLARD RD, EUGENE, OR 97405-4404
(541) 999-0306
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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