COLUMBIA RIVER DENTISTRY-GRESHAM, LLC
NPI 1508416041
Clinic/Center - Dental in Gresham, OR

Active since September 17, 2019
1700 NW CIVIC DR STE 320, GRESHAM, OR 97030(503) 666-5200 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Columbia River Dentistry-gresham, Llc NPPES

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

COLUMBIA RIVER DENTISTRY-GRESHAM, LLC (NPI 1508416041) is a healthcare organization registered as a dental in Gresham, Oregon and active in the NPI registry since September 2019. The organization lists Debbie Lopez, Regional Manager, as its authorized official.

NPPES Registry Identity

NPI1508416041
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCOLUMBIA RIVER DENTISTRY-GRESHAM, LLC
Location Address1700 NW CIVIC DR STE 320Gresham, OR 97030-3774
Mailing Address1700 Nw Civic Dr Ste 320Gresham, OR 97030-3774 · (503) 666-5200
Organization SubpartNo
Authorized OfficialDebbie LopezRegional Manager · (503) 914-8221
Enumeration DateSeptember 17, 2019
NPI 1508416041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1700 NW CIVIC DR STE 320, Gresham, OR 97030

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
1700 NW CIVIC DR STE 320
GRESHAM, OR 97030

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 Columbia River Dentistry-Gresham, LLC's NPI number?

The NPI number for Columbia River Dentistry-Gresham, LLC is 1508416041. It was assigned to this organization in the NPPES registry on September 17, 2019.

Where is Columbia River Dentistry-Gresham, LLC located?

Columbia River Dentistry-Gresham, LLC is located at 1700 NW Civic Dr Ste 320, Gresham, OR 97030. The listed phone number is (503) 666-5200.

What is Columbia River Dentistry-Gresham, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Columbia River Dentistry-Gresham, LLC was last updated on September 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.