WILLAMETTE DENTAL
NPI 1770905879
Preferred Provider Organization in Portland, OR

Active since January 09, 2014
17804 NW MARYLHURST DR, PORTLAND, OR 97229(503) 533-1755 Get Directions Write a Review

NPPES record last updated: January 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Willamette Dental NPPES

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

WILLAMETTE DENTAL (NPI 1770905879) is a healthcare organization registered as a preferred provider organization in Portland, Oregon and active in the NPI registry since January 2014. The organization lists Elina Budrevich, Dental Hygienist, as its authorized official.

NPPES Registry Identity

NPI1770905879
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameWILLAMETTE DENTAL
Location Address17804 NW MARYLHURST DRPortland, OR 97229-7913
Mailing Address4925 Sw Griffith DrBeaverton, OR 97005-2923
Organization SubpartNo
Authorized OfficialElina BudrevichDental Hygienist · (503) 533-1755
Enumeration DateJanuary 9, 2014
NPI 1770905879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License Licensed in OR · H5086
Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

17804 NW MARYLHURST DR, Portland, OR 97229

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 Dental's NPI number?

The NPI number for Willamette Dental is 1770905879. It was assigned to this organization in the NPPES registry on January 9, 2014.

Where is Willamette Dental located?

Willamette Dental is located at 17804 NW Marylhurst Dr, Portland, OR 97229. The listed phone number is (503) 533-1755.

What is Willamette Dental's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Willamette Dental was last updated on January 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.