Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristine Fuentes To, DA

Individual provider Dental Assistant · NPI 1295618379

Kristine Fuentes To, DA is a Dental Assistant in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

12570 SE Stark St Bld #E
Portland, OR 97233
Phone: (971) 347-3009
Fax: (971) 256-3277
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 002225 (OR)

Record details

NPI number1295618379
Entity typeIndividual (Type 1)
GenderFemale
Credentials DA
Sole proprietorNo
NPI enumeratedJuly 28, 2025
Last updated in NPPESJuly 28, 2025
Certification dateJuly 17, 2025

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