WILLAMETTE DENTAL
NPI 1194143065
Health Maintenance Organization in Beaverton, OR

Active since March 28, 2014
4925 SW GRIFFITH DR, BEAVERTON, OR 97005(855) 433-6825 Get Directions Write a Review

NPPES record last updated: March 28, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Willamette Dental NPPES

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

WILLAMETTE DENTAL (NPI 1194143065) is a healthcare organization registered as a health maintenance organization in Beaverton, Oregon and active in the NPI registry since March 2014. The organization lists Manimone Phanthamath, Dental Hygienist, as its authorized official.

NPPES Registry Identity

NPI1194143065
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameWILLAMETTE DENTAL
Location Address4925 SW GRIFFITH DRBeaverton, OR 97005-2923
Mailing Address1333 Se 194th PlCamas, WA 98607-8664
Organization SubpartNo
Authorized OfficialManimone PhanthamathDental Hygienist · (503) 715-7876
Enumeration DateMarch 28, 2014
NPI 1194143065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
License Licensed in OR · H5456
Definition

(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

4925 SW GRIFFITH DR, Beaverton, OR 97005

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.

Dental Hygienist
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Dental Hygienist
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Health Maintenance Organization
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Dentist (General Practice)
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Dentist (General Practice)
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Dentist (General Practice)
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Dentist (Orthodontics and Dentofacial Orthopedics)
4925 SW GRIFFITH DR
BEAVERTON, OR 97005
Dental Hygienist
4925 SW GRIFFITH DR
BEAVERTON, OR 97005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194143065, enumerated as an "organization" on March 28, 2014.

The provider is located at 4925 SW GRIFFITH DR BEAVERTON, OR 97005 and the phone number is (855) 433-6825.

Health Maintenance Organization with taxonomy code 302R00000X.