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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

RICHARD LEE TILLMAN
NPI 1417957010
Dentist - General Practice in Portland, OR

Active since July 26, 2005
833 SW 11TH AVE, SUITE 600, PORTLAND, OR 97205(503) 223-9725 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Lee Tillman NPPES

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

RICHARD LEE TILLMAN (NPI 1417957010) is an individual general practice provider in Portland, Oregon, licensed in Oregon (4466) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1417957010
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRICHARD LEE TILLMAN
Location Address833 SW 11TH AVE, SUITE 600Portland, OR 97205-2125
Mailing Address6500 Se Scott DrPortland, OR 97215-2018
Phone(503) 223-9725
Sole ProprietorNo
Enumeration DateJuly 26, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1417957010 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 · 4466
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.
833 SW 11TH AVE, Portland, OR 97205
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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.

DR. LINDA WOOD MILLER PH.D.
Psychologist (Clinical)
833 SW 11TH AVE, #816
PORTLAND, OR 97205
Multnomah County (503) 706-0880
DR. VINCENT COLASURDO D.M.D.
Dentist (General Practice)
833 SW 11TH AVE, SUITE 723
PORTLAND, OR 97205
Multnomah County (503) 223-7661
SUSAN SACCOMANNO ND LAC INC
Naturopath
833 SW 11TH AVE, SUITE #1018
PORTLAND, OR 97205
Multnomah County (503) 224-2525
RONNI BATTERMAN LCSW
Social Worker (Clinical)
833 SW 11TH AVE, 612
PORTLAND, OR 97205
Multnomah County (503) 221-1890
DR. MARTHA ELIZABETH RICH DMD
Dentist
833 SW 11TH AVE, STE 405
PORTLAND, OR 97205
Multnomah County (503) 228-6870
MS. BEVERLY SCHWARTZ LCSW
Social Worker (Clinical)
833 SW 11TH AVE, SUITE 320
PORTLAND, OR 97205
Multnomah County (503) 227-5692
THE TMJ CLINIC, PC
Dentist
833 SW 11TH AVE, SUITE 810
PORTLAND, OR 97205
Multnomah County (503) 241-7353
LISA KAKISHITA DMD LLC
Dentist (General Practice)
833 SW 11TH AVE, #414
PORTLAND, OR 97205
Multnomah County (503) 221-9439

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 Richard Tillman's NPI number?

The NPI number for Richard Tillman is 1417957010. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Richard Tillman located?

Richard Tillman practices at 833 SW 11th Ave Suite 600, Portland, OR 97205. The listed phone number is (503) 223-9725.

What is Richard Tillman'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 Richard Tillman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.