KNUTE A FREDRICKSON

PORTLAND, OR
NPI1982613121
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D5170)
Enumeration Date2006-08-05
Last Update Date2007-07-08
Business Address
Dr. KNUTE A FREDRICKSON DMD
7600 SE DIVISION ST
PORTLAND, OR 97206-1058
Phone number: 503-774-3033
Mailing Address
Dr. KNUTE A FREDRICKSON DMD
7600 SE DIVISION ST
PORTLAND, OR 97206-1058
Phone number: 503-774-3033
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