Poureetezadi, Falon Nicole
Poureetezadi, Falon Nicole is an individual health care provider with primary practice located at 360 Nw Burnside Rd , Gresham OR 97030-3852. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Poureetezadi, Falon Nicole can be contacted via phone (503) 667-7480.Contact Information
Primary practice address
360 Nw Burnside Rd
Gresham OR 97030-3852
Phone: (503) 667-7480
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X | 120537 | Oregon |
Profile Details
| NPI number | 1013309038 |
|---|---|
| LBN Legal business name | Poureetezadi, Falon Nicole |
| Credentials | EFDA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2015 |
| Last updated | Feb 27th, 2015 - about 10 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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