Provider Demographics
NPI:1952649030
Name:FLEMING-PACHECO, ELVERA DENISE (RDH)
Entity Type:Individual
Prefix:MS
First Name:ELVERA
Middle Name:DENISE
Last Name:FLEMING-PACHECO
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:MS
Other - First Name:ELVERA
Other - Middle Name:DENISE
Other - Last Name:FLEMING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:6950 NE CAMPUS WAY
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-5611
Mailing Address - Country:US
Mailing Address - Phone:503-952-2164
Mailing Address - Fax:503-952-2267
Practice Address - Street 1:5935 SE ALEXANDER ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-8575
Practice Address - Country:US
Practice Address - Phone:503-848-2385
Practice Address - Fax:503-848-2237
Is Sole Proprietor?:No
Enumeration Date:2013-01-23
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORH 2886124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist