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CORNELL FAMILY DENTAL
NPI 1063726644
Clinic/Center in Portland, OR

Active since August 05, 2010
12887 NW CORNELL RD, STE A, PORTLAND, OR 97229(503) 646-9687(503) 619-0066 Get Directions Write a Review

NPPES record last updated: August 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cornell Family Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORNELL FAMILY DENTAL (NPI 1063726644) is a healthcare organization registered as a clinic/center in Portland, Oregon and active in the NPI registry since August 2010. The organization lists Randall N Freed, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1063726644
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameRANDALL N FREED, D.M.D.
Location Address12887 NW CORNELL RD, STE APortland, OR 97229-5894
Mailing Address12887 Nw Cornell Rd, Ste APortland, OR 97229-5894 · (503) 646-9687 · Fax (503) 619-0066
Phone(503) 646-9687
Fax(503) 619-0066
Organization SubpartNo
Authorized OfficialRandall N FreedOwner/dentist · (503) 646-9687
Enumeration DateAugust 5, 2010
✔ NPI 1063726644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in OR · 5171
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
12887 NW CORNELL RD, Portland, OR 97229
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Other Names 1

Other NameCornell Family Dental

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA FEHER RDH
Dental Hygienist
12887 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 644-3105
RANDALL N FREED D.M.D., F.A.G.D.
Dentist (General Practice)
12887 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 646-9687
DR. BARRY ORRICK EVANS DMD
Dentist
12887 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 644-3105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall N Freed, D.M.D.'s NPI number?

The NPI number for Randall N Freed, D.M.D. is 1063726644. It was assigned to this organization in the NPPES registry on August 5, 2010. The provider is also known as Cornell Family Dental.

Where is Randall N Freed, D.M.D. located?

Randall N Freed, D.M.D. is located at 12887 NW Cornell Rd Ste A, Portland, OR 97229. The listed phone number is (503) 646-9687.

What is Randall N Freed, D.M.D.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Randall N Freed, D.M.D. was last updated on August 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.