Clist, Krysten Ann

Clist, Krysten Ann is an individual health care provider with primary practice located at 1822 Ne 33Rd Ave , Portland OR 97212-5112. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Clist, Krysten Ann can be contacted via phone (503) 249-0770.

Contact Information

Primary practice address
1822 Ne 33Rd Ave Portland OR 97212-5112
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H1188 Oregon

Profile Details

NPI number 1396904041
LBN Legal business name Clist, Krysten Ann
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2008
Last updated Jun 7th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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