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EASTMORLAND DENTAL OFFICE
NPI 1265984546
Dentist - General Practice in Portland, OR

Active since November 02, 2016
5025 SE 28TH AVE, PORTLAND, OR 97202(800) 813-2000(503) 286-6879 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 1, 2021, Nov 2, 2016 (2 updates tracked since 2016).

About Eastmorland Dental Office NPPES

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

EASTMORLAND DENTAL OFFICE (NPI 1265984546) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since November 2016. The organization lists Kenneth R Wright, Vp Dental Care Services, as its authorized official.

NPPES Registry Identity

NPI1265984546
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Location Address5025 SE 28TH AVEPortland, OR 97202-4445
Mailing Address500 Ne Multnomah StPortland, OR 97232-2023 · (800) 813-2000 · Fax (503) 286-6879
Phone(800) 813-2000
Fax(503) 286-6879
Organization SubpartYesParent: Kaiser Permanente Dental Care Program
Authorized OfficialKenneth R WrightVp Dental Care Services · (503) 813-4660
Enumeration DateNovember 2, 2016
Last NPPES UpdateJune 1, 20212 updates tracked since enumeration
NPPES CertifiedJune 1, 2021
✔ NPI 1265984546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
5025 SE 28TH AVE, Portland, OR 97202
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Other Names 1

Other NameEastmorland Dental Office

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

GWENDOLYN EVE POLLAN EFDA
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
KAISER DENTAL
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
SUSAN MARIE ADAMS EFDA, CDA
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
MS. JACQUELINE REE FARLINGER-KING RDH
Dental Hygienist
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
GLENDA K LORIMOR EFDA
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
TIANA LYNN DWAN
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
MS. JULIA MARIE LYNCH RDH
Dental Hygienist
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418
SARAH BACHMAN EFDA
Dental Assistant
5025 SE 28TH AVE
PORTLAND, OR 97202
Multnomah County (503) 238-4418

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 Kaiser Foundation Health Plan Of The Northwest's NPI number?

The NPI number for Kaiser Foundation Health Plan Of The Northwest is 1265984546. It was assigned to this organization in the NPPES registry on November 2, 2016. The provider is also known as Eastmorland Dental Office.

Where is Kaiser Foundation Health Plan Of The Northwest located?

Kaiser Foundation Health Plan Of The Northwest is located at 5025 SE 28th Ave, Portland, OR 97202. The listed phone number is (800) 813-2000.

What is Kaiser Foundation Health Plan Of The Northwest'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 Kaiser Foundation Health Plan Of The Northwest was last updated on June 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.