Individual provider · Type 1 NPI
Kristine Fuentes To, DA
Dental Assistant · Portland, OR
Practice location
12570 SE Stark St Bld #E
Portland, OR 97233
Fax (971) 256-3277
Mailing address
211 SE Caruthers St
Portland, OR 97214-4502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Assistant Primary | 126800000X | 002225 (OR) |
Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…
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About NPI 1295618379
Kristine Fuentes To, DA's National Provider Identifier is 1295618379, issued on Jul 28, 2025. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Portland, OR. The record was last updated on Jul 28, 2025.