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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PONDEROSA PINES PERIODONTICS
NPI 1780580498
Dentist - Periodontics in Portland, OR

Active since October 19, 2026
7600 SE DIVISION ST, PORTLAND, OR 97206(480) 748-8123 Get Directions Write a Review

NPPES record added: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ponderosa Pines Periodontics NPPES

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

PONDEROSA PINES PERIODONTICS (NPI 1780580498) is a healthcare organization registered as a periodontics in Portland, Oregon and active in the NPI registry since October 2026. The organization lists Syed Umer, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1780580498
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePONDEROSA PINES PERIODONTICS
Location Address7600 SE DIVISION STPortland, OR 97206-1058
Mailing Address7600 Se Division StPortland, OR 97206-1058
Phone(480) 748-8123
Organization SubpartNo
Authorized OfficialSyed UmerPeriodontist · (480) 748-8123
Enumeration DateOctober 19, 2026
NPPES CertifiedOctober 19, 2026
✔ NPI 1780580498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
7600 SE DIVISION ST, Portland, OR 97206
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Other Providers at the Same Location NPPES 3

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

NOOR A KHAKI DMD PC
Clinic/Center (Dental)
7600 SE DIVISION ST
PORTLAND, OR 97206
Multnomah County (503) 774-3033
TIN M. LE DMD, PC
Dentist
7600 SE DIVISION ST
PORTLAND, OR 97206
Multnomah County (503) 774-3033
DR. KNUTE A FREDRICKSON DMD
Dentist (General Practice)
7600 SE DIVISION ST
PORTLAND, OR 97206
Multnomah County (503) 774-3033

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 Ponderosa Pines Periodontics's NPI number?

The NPI number for Ponderosa Pines Periodontics is 1780580498. It was assigned to this organization in the NPPES registry on October 19, 2026.

Where is Ponderosa Pines Periodontics located?

Ponderosa Pines Periodontics is located at 7600 SE Division St, Portland, OR 97206. The listed phone number is (480) 748-8123.

What is Ponderosa Pines Periodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Ponderosa Pines Periodontics was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.