Individual
KRISTINA W FREDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34182 THUNDER CLOUD DR, EUGENE, OR 97405-9632
(541) 514-8009
Mailing address
1 HAYDEN BRIDGE WAY, SPRINGFIELD, OR 97477-1347
(541) 868-9430
(541) 868-9450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012076
OR
Other
Enumeration date
08/18/2020
Last updated
09/21/2021
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