Individual provider · Type 1 NPI

Kristina Petersen, RDH

Dental Hygienist · Beaverton, OR

NPI number 1013465566 Active

Practice location

13000 SW 2nd St
Beaverton, OR 97005-2615

Call (503) 259-5045 Map

Mailing address

PO Box 568
Cornelius, OR 97113-0568

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	H7310 (OR)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1013465566

Kristina Petersen, RDH's National Provider Identifier is 1013465566, issued on Sep 13, 2016. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Beaverton, OR. The record was last updated on Sep 13, 2016.