Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Falon Nicole Poureetezadi, EFDA

Individual provider Dental Assistant · NPI 1013309038

Falon Nicole Poureetezadi, EFDA is a Dental Assistant in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015

Practice location Address checks out

360 NW Burnside Rd
Gresham, OR 97030-3852
Phone: (503) 667-7480
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 120537 (OR)

Record details

NPI number1013309038
Entity typeIndividual (Type 1)
GenderFemale
Credentials EFDA
Sole proprietorNo
NPI enumeratedFebruary 27, 2015
Last updated in NPPESFebruary 27, 2015

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