IndividualActive
Knute Fredrickson, DMD
NPI 1982613121 · General Practice Dentistry · Portland, OR
Knute Fredrickson, DMD is a General Practice Dentistry provider in Portland, OR (NPI 1982613121).
Provider details
- NPI number
- 1982613121
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- D5170 (OR)
Practice location
7600 Se Division St
Portland, OR 97206-1058
Phone: (503) 774-3033
Street-level locationGet directions
Mailing address
7600 Se Division St
Portland, OR 97206-1058
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.