Individual
FALASTEEN ADEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1346 NE 134TH AVE, PORTLAND, OR 97230-3211
(503) 847-6085
Mailing address
1346 NE 134TH AVE, PORTLAND, OR 97230-3211
(503) 847-6085
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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