LESLIE FABIOLA MORENO (NPI# 1285251454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285251454 |
| Entity Type | Individual |
| Full Name | LESLIE FABIOLA MORENO |
| Practice Address |
600 Ne 8th St Ste 210 Gresham OR 97030-7341 |
| Mailing Address |
5020 Ne Killingsworth St Apt 106 Portland OR 97218-1991 |
| Practice Telephone | 5039884900 |
| Mailing Telephone | 5038960240 |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 120307 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154781441 | Leslie Moreno | Specialist/Technologist | 1700 Lehman Rd, Kyle, TX 78640-5246 | 2016-02-29 |
| 1922515311 | Leslie B Moreno | Nurse Practitioner | 1751 Bonaventure Blvd, Weston, FL 33326-4039 | 2018-01-07 |
| 1487089827 | Leslie Moreno | Counselor | 405 W 5th St Ste 550, Santa Ana, CA 92701-4599 | 2013-09-04 |
| 1013279942 | Leslie Moreno | Rehabilitation Practitioner | 6055 E Washington Blvd, Suite # 900, Commerce, CA 90040-2449 | 2012-06-15 |
| Street Address |
600 NE 8TH ST STE 210 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-7341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598854929 | Dmitri Vladislavovich Aleksandrov | Dentist | 600 Ne 8th St Ste 210, Gresham, OR 97030-7341 | 2006-10-12 |
| 1770100125 | Elizabeth Cruz-cruz | Dental Assistant | 600 Ne 8th St Ste 210, Gresham, OR 97030-7341 | 2020-07-01 |
| 1063762151 | Nicole Therese Kemena | Dentist | 600 Ne 8th St Ste 210, Gresham, OR 97030-7341 | 2012-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| 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. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811515760 | Dezerre Munoz | Dental Assistant | 600 Ne 8th St Ste 200, Gresham, OR 97030-7317 | 2020-07-08 |
| 1679906937 | Corrine Nichole Robideau | Dental Assistant | 22208 S.e Ash, Gresham, OR 97030 | 2013-08-09 |
| 1124645437 | Ramona Ann Waits | Dental Assistant | 600 Ne 8th St, Gresham, OR 97030-7317 | 2020-07-02 |
| 1770100125 | Elizabeth Cruz-cruz | Dental Assistant | 600 Ne 8th St Ste 210, Gresham, OR 97030-7341 | 2020-07-01 |
| 1174140511 | Lacey M Hudson | Dental Assistant | 600 Ne 8th St Ste 300, Gresham, OR 97030-7318 | 2020-07-01 |
| 1366074387 | Diamond Spigner | Dental Assistant | 360 Nw Burnside Rd, Gresham, OR 97030-3852 | 2020-02-07 |
| 1740840289 | Marin Benfit | Dental Assistant | 360 Nw Burnside Rd, Gresham, OR 97030-3852 | 2019-06-17 |
| 1013309038 | Falon Nicole Poureetezadi | Dental Assistant | 360 Nw Burnside Rd, Gresham, OR 97030-3852 | 2015-02-27 |
| 1467715631 | Svetlana Dovgan | Dental Assistant | 360 Nw Burnside Rd, Gresham, OR 97030-3852 | 2012-06-21 |
| 1184881609 | Diane Renee Gatter | Dental Assistant | 360 Nw Burnside Rd, Gresham, OR 97030-3852 | 2008-05-21 |
| Find all providers in GRESHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.