Leslie Fabiola Moreno

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

120307 Issued in OR

Practice address

600 NE 8TH St Ste 210
Gresham, OR 97030-7341

Phone

(503) 988-4900

NPI assigned

Jul 2, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1285251454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 NE KILLINGSWORTH ST APT 106",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972181991",
            "telephone_number": "503-896-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NE 8TH ST STE 210",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307341",
            "telephone_number": "503-988-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "LESLIE",
        "middle_name": "FABIOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Assistant",
            "state": "OR",
            "license": "120307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey L S Moore, MOTR/L
• Angelica Morales
• Gabriela Morales
• Steven M Morales, D.D.S.
• Angela Moreno Villegas
• Marc Masayoshi Morishige, PT
• Connor Mormon, DC, MS
• Erin Morrison L
• Bex Morrison
• Jessica Morrow, LMT

• Dental Assistant in Gresham, OR
• Providers in Gresham, OR by specialty
• Dental Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.