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1013506187
KRISA FENTON
LAKE OSWEGO, OR
NPI
1013506187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 202011146NP-PP)
Enumeration Date
2021-01-13
Last Update Date
2021-01-13
Business Address
KRISA FENTON FNP
5 CENTERPOINTE DR STE 600
LAKE OSWEGO, OR 97035-8662
Phone number: 615-465-9443
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Mailing Address
KRISA FENTON FNP
5 CENTERPOINTE DR STE 600
LAKE OSWEGO, OR 97035-8662
Phone number:
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