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

Teresita N Simon, DA

Individual provider Dental Assistant · NPI 1588251771

Teresita N Simon, DA is a Dental Assistant in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2020.

Licensed in
OR
In the registry since
2020

Practice location Address checks out

12750 SE Stark St Bldg E
Portland, OR 97233-1539
Phone: (971) 347-3009
Fax: (971) 256-3277
Show map & directions

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

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X (OR)

Record details

NPI number1588251771
Entity typeIndividual (Type 1)
GenderFemale
Credentials DA
Sole proprietorNo
NPI enumeratedDecember 22, 2020
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020

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