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GWEN HRYCIW EICHENBAUM DMD, PHD
NPI 1811625569
Dentist - General Practice in Portland, OR

Active since August 10, 2022
12889 NW CORNELL RD, PORTLAND, OR 97229(503) 643-6643 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 20, 2026, Aug 10, 2022 (2 updates tracked since 2022).

About Gwen Hryciw Eichenbaum Dmd, Phd NPPES

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

GWEN HRYCIW EICHENBAUM DMD, PHD (NPI 1811625569) is an individual general practice provider in Portland, Oregon, licensed in Oregon (D11667) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1811625569
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameGWEN HRYCIW EICHENBAUMCredential: DMD, PHD
Location Address12889 NW CORNELL RDPortland, OR 97229-5813
Mailing Address14820 Nw Ridgetop CtBeaverton, OR 97006-5404 · (503) 888-8966
Phone(503) 643-6643
Sole ProprietorYes
Enumeration DateAugust 10, 2022
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1811625569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D11667
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
12889 NW CORNELL RD, Portland, OR 97229
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Other Names 1

Former Name (1)Gwen Marie Hryciw

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental Plan of Oregon.Insurance ›

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.

DR. LINDSAY IRENE FREED D.M.D.
Dentist (General Practice)
12889 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 643-6643
CORNELL FAMILY DENTAL
Dentist (General Practice)
12889 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 643-6643

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 Gwen Eichenbaum's NPI number?

The NPI number for Gwen Eichenbaum is 1811625569. It was assigned to this individual provider in the NPPES registry on August 10, 2022. The provider is also known as Gwen Marie Hryciw.

Where is Gwen Eichenbaum located?

Gwen Eichenbaum practices at 12889 NW Cornell Rd, Portland, OR 97229. The listed phone number is (503) 643-6643.

What is Gwen Eichenbaum's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Gwen Eichenbaum accept?

Health plans from Delta Dental Plan of Oregon list Gwen Eichenbaum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gwen Eichenbaum was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.