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Falon Poureetezadi, EFDA — NPI 1013309038, Gresham, OR | NPI Central

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NPI 1013309038

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Falon Poureetezadi, EFDA

NPI 1013309038 · Dental Assistant · Gresham, OR

Provider details

NPI number: 1013309038
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Credential: EFDA
Sex: Female
Sole proprietor: No
License: 120537 (OR)

Specialties & taxonomies

Dental AssistantPrimary126800000XLicense 120537 (OR)
Dental Providers

Practice location

360 Nw Burnside Rd

Gresham, OR 97030-3852

Phone: (503) 667-7480

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

900 Se Arrow Creek Ln

Gresham, OR 97080-1981

Registry dates

Enumerated: 2015-02-27
Last updated: 2015-02-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.