Individual provider · Type 1 NPI

Knute A. Fredrickson, DMD

General Practice Dentistry · Portland, OR

NPI number 1982613121 Active

About NPI 1982613121

Knute A. Fredrickson, DMD's National Provider Identifier is 1982613121, issued on Aug 5, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.