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WILLAMETTE
NPI 1649692450
Dentist in Gresham, OR

Active since January 13, 2014
1107 NE BURNSIDE RD, GRESHAM, OR 97030(503) 952-2167 Get Directions Write a Review

NPPES record last updated: January 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willamette NPPES

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

WILLAMETTE (NPI 1649692450) is a healthcare organization registered as a dentist in Gresham, Oregon and active in the NPI registry since January 2014. The organization lists Sheida Kharrazi, Dentist, as its authorized official.

NPPES Registry Identity

NPI1649692450
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameWILLAMETTE
Location Address1107 NE BURNSIDE RDGresham, OR 97030-5710
Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611 · (503) 952-2167 · Fax (503) 952-2267
Phone(503) 952-2167
Organization SubpartNo
Authorized OfficialSheida KharraziDentist · (503) 310-0923
Enumeration DateJanuary 13, 2014
✔ NPI 1649692450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OR · 7585
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1107 NE BURNSIDE RD, Gresham, OR 97030
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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 7

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

DR. DONALD DAVID WELLS DDS
Dentist (General Practice)
1107 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (503) 665-9616
MRS. KAYLA SOTO RDH
Dental Hygienist
1107 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (503) 665-9616
DR. CHAD JASON FIFE D.D.S
Dentist
1107 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (855) 433-6825
DR. DARYL KHAW DMD
Dentist
1107 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (855) 433-6825
DR. WHITNEY HOPE WARTH DMD
Dentist (General Practice)
1107 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (855) 433-6825
DR. SHEIDA KHARRAZI DMD
Dentist (General Practice)
1107 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (503) 665-9616
VERONICA MENDEZ HERNANDEZ BSDH,RDH,EPDH
Dental Hygienist
1107 NE BURNSIDE RD
GRESHAM, OR 97030
Multnomah County (503) 663-1404

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's NPI number?

The NPI number for Willamette is 1649692450. It was assigned to this organization in the NPPES registry on January 13, 2014.

Where is Willamette located?

Willamette is located at 1107 NE Burnside Rd, Gresham, OR 97030. The listed phone number is (503) 952-2167.

What is Willamette's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Willamette was last updated on January 13, 2014. 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.