Moreno, Leslie Fabiola
Moreno, Leslie Fabiola is an sole proprietor health care provider with primary practice located at 600 Ne 8Th St Ste 210 , Gresham OR 97030-7341. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Moreno, Leslie Fabiola can be contacted via phone (503) 988-4900.Contact Information
Primary practice address
600 Ne 8Th St Ste 210
Gresham OR 97030-7341
Phone: (503) 988-4900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 120307 | Oregon |
Profile Details
| NPI number | 1285251454 |
|---|---|
| LBN Legal business name | Moreno, Leslie Fabiola |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2020 |
| Last updated | Jul 2nd, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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