1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Dental Hygienist
  6. NPI Profile

MISS RANDI MICHELLE PETTY RDH
NPI 1790027217
Dental Hygienist in Portland, OR

Active since March 22, 2013
4104 SE 82ND AVE STE 450, PORTLAND, OR 97266(503) 771-4324 Get Directions Write a Review

NPPES record last updated: March 22, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Randi Michelle Petty Rdh NPPES

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

MISS RANDI MICHELLE PETTY RDH (NPI 1790027217) is an individual dental hygienist in Portland, Oregon, licensed in Oregon (H5615) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1790027217
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMISS RANDI MICHELLE PETTYCredential: RDH
Location Address4104 SE 82ND AVE STE 450Portland, OR 97266-2958
Mailing Address4104 Se 82nd Ave Ste 450Portland, OR 97266-2958 · (503) 771-4324
Phone(503) 771-4324
Sole ProprietorNo
Enumeration DateMarch 22, 2013
✔ NPI 1790027217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in OR · H5615
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
4104 SE 82ND AVE STE 450, Portland, OR 97266
Open in Google Maps ↗

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.

DR. ROXANE E KOTZIN DMD
Dentist (General Practice)
4104 SE 82ND AVE STE 450
PORTLAND, OR 97266
Multnomah County (503) 771-4324
DR. SUSHILPA MANGINENI DDS
Dentist (General Practice)
4104 SE 82ND AVE STE 450
PORTLAND, OR 97266
Multnomah County (503) 771-4324
JOHN YU
Dental Hygienist
4104 SE 82ND AVE STE 450
PORTLAND, OR 97266
Multnomah County (503) 777-0761

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 Randi Petty's NPI number?

The NPI number for Randi Petty is 1790027217. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is Randi Petty located?

Randi Petty practices at 4104 SE 82nd Ave Ste 450, Portland, OR 97266. The listed phone number is (503) 771-4324.

What is Randi Petty's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Randi Petty was last updated on March 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.