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Knute Fredrickson, DMD
NPI 1982613121 · on the registry since 2006 · sole proprietor
Practice
- Address
- 7600 Se Division St
Portland, OR 97206 - Phone
- (503) 774-3033
- Organisation at this address
- Tin M. Le Dmd, Pc
Noor A Khaki Dmd PcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon