Falon Nicole Poureetezadi
Dental Assistant
360 Nw Burnside Rd
Gresham
, Oregon 97030-3852
Falon Nicole Poureetezadi
Dental Assistant
360 Nw Burnside Rd
Gresham
, Oregon 97030-3852
(503) 201-0146
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Falon Nicole Poureetezadi
- 900 Se Arrow Creek Ln
- Gresham, OR
- Zip : 97080-1981
- Phone : (503) 201-0146
Second Address
- Falon Nicole Poureetezadi
- 360 Nw Burnside Rd
- Gresham, OR
- Zip : 97030-3852
- Phone : (503) 667-7480
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 120537 | OR |
National Provider Identifier
| NPI | 1013309038 |
|---|---|
| Provider Name | Falon Nicole Poureetezadi |
| First Address | Gresham, OR 97080-1981 |
| Second Address | Gresham, OR 97030-3852 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2015 |
| Last Update Date | 27/02/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.