Healthcare Provider Details

I. General information

NPI: 1922132315
Provider Name (Legal Business Name): DEBIE KAY GIESZLER-ASGARI EFDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17675 SW TUALATIN VALLEY HWY
BEAVERTON OR
97006-4443
US

IV. Provider business mailing address

16117 SW MILAN LN
TIGARD OR
97223-0661
US

V. Phone/Fax

Practice location:
  • Phone: 503-259-3160
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code126800000X
TaxonomyDental Assistant
License NumberA8097
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: