RANDALL N FREED D.M.D., F.A.G.D.
NPI 1184636110
Dentist - General Practice in Portland, OR

Active since August 11, 2006
12887 NW CORNELL RD, PORTLAND, OR 97229(503) 646-9687(503) 619-0066 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Randall N Freed D.m.d., F.a.g.d. NPPES

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

RANDALL N FREED D.M.D., F.A.G.D. (NPI 1184636110) is an individual general practice provider in Portland, Oregon, licensed in Oregon (5171) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1184636110
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRANDALL N FREEDCredential: D.M.D., F.A.G.D.
Location Address12887 NW CORNELL RDPortland, OR 97229-5813
Mailing Address12887 Nw Cornell RdPortland, OR 97229-5813 · (503) 646-9687 · Fax (503) 619-0066
Fax(503) 619-0066
Sole ProprietorYes
Enumeration DateAugust 11, 2006
Last NPPES UpdateJuly 29, 2010
NPI 1184636110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · 5171
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

12887 NW CORNELL RD, Portland, OR 97229

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.

Clinic/Center
12887 NW CORNELL RD, STE A
PORTLAND, OR 97229
Dental Hygienist
12887 NW CORNELL RD
PORTLAND, OR 97229
Dentist
12887 NW CORNELL RD
PORTLAND, OR 97229

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 Freed's NPI number?

The NPI number for Randall Freed is 1184636110. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Randall Freed located?

Randall Freed practices at 12887 NW Cornell Rd, Portland, OR 97229. The listed phone number is (503) 646-9687.

What is Randall Freed's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Randall Freed was last updated on July 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.