PORTLAND DENTAL ANESTHESIA
NPI 1639604689
Dentist - Dentist Anesthesiologist in Sherwood, OR

Active since April 27, 2017
21370 SW LANGER FARMS PKWY #142, SHERWOOD, OR 97140(503) 858-4880(503) 914-6685 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Portland Dental Anesthesia NPPES

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

PORTLAND DENTAL ANESTHESIA (NPI 1639604689) is a healthcare organization registered as a dentist anesthesiologist in Sherwood, Oregon and active in the NPI registry since April 2017. The organization lists Ryan T Allred, Owner, as its authorized official.

NPPES Registry Identity

NPI1639604689
Entity TypeOrganization
Primary Taxonomy1223D0004X
Legal Business NamePORTLAND DENTAL ANESTHESIA
Location Address21370 SW LANGER FARMS PKWY #142Sherwood, OR 97140-9137
Mailing Address21370 Sw Langer Farms Pkwy #142Sherwood, OR 97140-9137 · (503) 858-4880 · Fax (503) 914-6685
Fax(503) 914-6685
Organization SubpartNo
Authorized OfficialRyan T AllredOwner · (503) 858-4880
Enumeration DateApril 27, 2017
NPI 1639604689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
License Licensed in OR · D9387
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
21370 SW LANGER FARMS PKWY #142, Sherwood, OR 97140

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Portland Dental Anesthesia's NPI number?

The NPI number for Portland Dental Anesthesia is 1639604689. It was assigned to this organization in the NPPES registry on April 27, 2017.

Where is Portland Dental Anesthesia located?

Portland Dental Anesthesia is located at 21370 SW Langer Farms Pkwy #142, Sherwood, OR 97140. The listed phone number is (503) 858-4880.

What is Portland Dental Anesthesia's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for Portland Dental Anesthesia was last updated on April 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.