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NPI 1083102248

IndividualActive

Antonina Kutsar

NPI 1083102248 · Dental Assistant · Portland, OR

Provider details

NPI number: 1083102248
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Sex: Female
Sole proprietor: No
License: 121171 (OR)

Practice location

7201 N Interstate Ave

Portland, OR 97217-5523

Phone: (503) 286-6860

More OR providers

Mailing address

8613 Ne 97th Ct

Vancouver, WA 98662-4227

Registry dates

Enumerated: 2018-04-24
Last updated: 2018-04-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Antonina Kutsar — NPI 1083102248, Portland, OR | NPI Central