NPI 1285251454

Leslie Fabiola Moreno

Practitioner Dental Assistant Gresham, OR

Practice location

Address: 600 NE 8th St STE 210, Gresham, OR 97030-7341
Phone: (503) 988-4900
Mailing address: 5020 NE Killingsworth St APT 106, Portland, OR 97218-1991

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 120307 (OR)

Other Dental Assistant providers in Oregon →

Registry record

NPI: 1285251454
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jul 2020
Record last updated: 2 Jul 2020

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.