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WILLAMETTE DENTAL
NPI 1255761524
Preferred Provider Organization in Beaverton, OR

Active since November 22, 2013
4925 SW GRIFFITH DR., BEAVERTON, OR 97005(503) 352-4896 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Willamette Dental NPPES

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

WILLAMETTE DENTAL (NPI 1255761524) is a healthcare organization registered as a preferred provider organization in Beaverton, Oregon and active in the NPI registry since November 2013. The organization lists Stacy Reed, Dental Hygienist, as its authorized official.

NPPES Registry Identity

NPI1255761524
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameWILLAMETTE DENTAL
Location Address4925 SW GRIFFITH DR.Beaverton, OR 97005
Mailing Address16199 Sw Tuscany StTigard, OR 97223
Phone(503) 352-4896
Organization SubpartNo
Authorized OfficialStacy ReedDental Hygienist · (503) 352-4896
Enumeration DateNovember 22, 2013
✔ NPI 1255761524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in OR · H5039
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
4925 SW GRIFFITH DR., Beaverton, OR 97005
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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 Willamette Dental's NPI number?

The NPI number for Willamette Dental is 1255761524. It was assigned to this organization in the NPPES registry on November 22, 2013.

Where is Willamette Dental located?

Willamette Dental is located at 4925 SW Griffith Dr., Beaverton, OR 97005. The listed phone number is (503) 352-4896.

What is Willamette Dental's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Willamette Dental was last updated on November 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.