NPI 1013309038

Falon Nicole Poureetezadi, EFDA

Practitioner Dental Assistant Gresham, OR

Practice location

Address: 360 NW Burnside Rd, Gresham, OR 97030-3852
Phone: (503) 667-7480
Mailing address: 900 SE Arrow Creek Ln, Gresham, OR 97080-1981

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 120537 (OR)

Other Dental Assistant providers in Oregon →

Registry record

NPI: 1013309038
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Feb 2015
Record last updated: 27 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.