Nordahl, Kristin

Nordahl, Kristin is an individual health care provider with primary practice located at 1057 12Th Ave , Longview WA 98632-2509. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Nordahl, Kristin can be contacted via phone (360) 636-3892.

Contact Information

Primary practice address
1057 12Th Ave Longview WA 98632-2509
Phone: (360) 636-3892
Fax: (360) 414-1114
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00131874 Washington
Dental Providers / General Practice 1223G0001X DE60035277 Washington

Profile Details

NPI number 1811136898
LBN Legal business name Nordahl, Kristin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2009
Last updated Sep 13th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811136898 NPPES
Washington MEDICAID 5059464

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