Individual provider · Type 1 NPI

Falon Nicole Poureetezadi, EFDA

Dental Assistant · Gresham, OR

NPI number 1013309038 Active

Practice location

360 NW Burnside Rd
Gresham, OR 97030-3852

Mailing address

900 SE Arrow Creek Ln
Gresham, OR 97080-1981

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000X120537 (OR)

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

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About NPI 1013309038

Falon Nicole Poureetezadi, EFDA's National Provider Identifier is 1013309038, issued on Feb 27, 2015. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Gresham, OR. The record was last updated on Feb 27, 2015.