NE 82ND AVENUE DENTAL LLC
NPI 1700192184
Clinic/Center - Dental in Portland, OR

Active since August 24, 2010
2150 NE 82ND AVE, PORTLAND, OR 97220(503) 254-0897(503) 254-0894 Get Directions Write a Review

NPPES record last updated: August 24, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ne 82nd Avenue Dental Llc NPPES

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

NE 82ND AVENUE DENTAL LLC (NPI 1700192184) is a healthcare organization registered as a dental in Portland, Oregon and active in the NPI registry since August 2010. The organization lists Sarah Nichol, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1700192184
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameNE 82ND AVENUE DENTAL LLC
Location Address2150 NE 82ND AVEPortland, OR 97220-5607
Mailing Address2150 Ne 82nd AvePortland, OR 97220-5607 · (503) 254-0897 · Fax (503) 254-0894
Fax(503) 254-0894
Organization SubpartNo
Authorized OfficialSarah NicholOffice Manager · (503) 254-0897
Enumeration DateAugust 24, 2010
NPI 1700192184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Licenses Licensed in OR · D8506 Licensed in OR · D9389 Licensed in OR · D8961
2150 NE 82ND AVE, Portland, OR 97220

Other Providers at the Same Location NPPES 2

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

Dental Hygienist
2150 NE 82ND AVE
PORTLAND, OR 97220
Dentist (General Practice)
2150 NE 82ND AVE
PORTLAND, OR 97220

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 NE 82nd Avenue Dental LLC's NPI number?

The NPI number for NE 82nd Avenue Dental LLC is 1700192184. It was assigned to this organization in the NPPES registry on August 24, 2010.

Where is NE 82nd Avenue Dental LLC located?

NE 82nd Avenue Dental LLC is located at 2150 NE 82nd Ave, Portland, OR 97220. The listed phone number is (503) 254-0897.

What is NE 82nd Avenue Dental 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 NE 82nd Avenue Dental LLC was last updated on August 24, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.