FALON NICOLE POUREETEZADI EFDA
NPI 1013309038
Dental Assistant in Gresham, OR

Active since February 27, 2015
360 NW BURNSIDE RD, GRESHAM, OR 97030(503) 667-7480 Get Directions Write a Review

NPPES record last updated: February 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Falon Nicole Poureetezadi Efda NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FALON NICOLE POUREETEZADI EFDA (NPI 1013309038) is an individual dental assistant in Gresham, Oregon, licensed in Oregon (120537) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1013309038
Entity TypeIndividualFemale
Primary Taxonomy126800000X
Provider Legal NameFALON NICOLE POUREETEZADICredential: EFDA
Location Address360 NW BURNSIDE RDGresham, OR 97030-3852
Mailing Address900 Se Arrow Creek LnGresham, OR 97080-1981 · (503) 201-0146
Sole ProprietorNo
Enumeration DateFebruary 27, 2015
NPI 1013309038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
License Licensed in OR · 120537
Definition
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 dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
360 NW BURNSIDE RD, Gresham, OR 97030

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dental Assistant
360 NW BURNSIDE RD
GRESHAM, OR 97030
Dental Assistant
360 NW BURNSIDE RD
GRESHAM, OR 97030
Dentist (General Practice)
360 NW BURNSIDE RD, KAISER PERM DENTAL
GRESHAM, OR 97030
Dental Hygienist
360 NW BURNSIDE RD
GRESHAM, OR 97030
Dental Assistant
360 NW BURNSIDE RD
GRESHAM, OR 97030
Dental Assistant
360 NW BURNSIDE RD
GRESHAM, OR 97030
Dentist (General Practice)
360 NW BURNSIDE RD
GRESHAM, OR 97030
Dental Assistant
360 NW BURNSIDE RD
GRESHAM, OR 97030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Falon Poureetezadi's NPI number?

The NPI number for Falon Poureetezadi is 1013309038. It was assigned to this individual provider in the NPPES registry on February 27, 2015.

Where is Falon Poureetezadi located?

Falon Poureetezadi practices at 360 NW Burnside Rd, Gresham, OR 97030. The listed phone number is (503) 667-7480.

What is Falon Poureetezadi's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Falon Poureetezadi was last updated on February 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.