VIRGINIA GARCIA BEAVERTON WELLNESS DENTAL
NPI 1184105082
Clinic/Center - Federally Qualified Health Center (FQHC) in Beaverton, OR

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

Active since August 28, 2018CLIA 38D0922743 · Waiver

2725 SW CEDAR HILLS BLVD STE 200, BEAVERTON, OR 97005(503) 352-7990 Get Directions Write a Review

NPPES record last updated: August 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 19, 2023, Aug 28, 2018 (2 updates tracked since 2018).

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About Virginia Garcia Beaverton Wellness Dental NPPES

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

VIRGINIA GARCIA BEAVERTON WELLNESS DENTAL (NPI 1184105082) is a healthcare organization registered as a federally qualified health center (fqhc) in Beaverton, Oregon and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through October 14, 2026 and lists Annmarie Dennis, Corporate Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1184105082

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameVIRGINIA GARCIA MEMORIAL HEALTH CENTER

Location Address2725 SW CEDAR HILLS BLVD STE 200Beaverton, OR 97005-1344

Mailing AddressPo Box 6149Aloha, OR 97007-0149

Phone(503) 352-7990

Organization SubpartNo

Authorized OfficialAnnmarie DennisCorporate Compliance Officer · (503) 214-1652

Enumeration DateAugust 28, 2018

Last NPPES UpdateAugust 19, 20232 updates tracked since enumeration

NPPES CertifiedAugust 19, 2023

✔ NPI 1184105082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

2725 SW CEDAR HILLS BLVD STE 200, Beaverton, OR 97005

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Other Names 1

Doing Business AsVirginia Garcia Beaverton Wellness Dental

Other Identifiers 1

Medicaid38-1898OR

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0922743

Virginia Garcia Memorial Health Center Multisite · Beaverton, OR

Active · expires Oct 14, 2026

CLIA Number38D0922743

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateOctober 15, 2024

Certificate Expiration DateOctober 14, 2026

Laboratory DirectorDr. Laura Byerly

Laboratory Phone(503) 352-8561

Laboratory LocationVirginia Garcia Memorial Health Center Multisite13000 SW 2nd St, Beaverton, OR 97005

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

JOSE L REYNA DPT

Physical Therapist