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

CORNELL FAMILY DENTAL
NPI 1871841429
Dentist - General Practice in Portland, OR

Active since August 29, 2012
12889 NW CORNELL RD, PORTLAND, OR 97229(503) 643-6643 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cornell Family Dental NPPES

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

CORNELL FAMILY DENTAL (NPI 1871841429), doing business as Lindsay Freed Brown, is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since August 2012. The organization lists Lindsay Irene Freed, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1871841429
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCORNELL FAMILY DENTAL
Location Address12889 NW CORNELL RDPortland, OR 97229
Mailing Address12889 Nw Cormell RdPortland, OR 97229 · (503) 643-6643 · Fax (503) 644-5972
Phone(503) 643-6643
Organization SubpartNo
Authorized OfficialLindsay Irene FreedOwner/dentist · (503) 260-4296
Enumeration DateAugust 29, 2012
Last NPPES UpdateJune 14, 2023
NPPES CertifiedJune 14, 2023
✔ NPI 1871841429 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 · D9474
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
Open in Google Maps ↗

Other Names 1

Former Legal Business NameLindsay Freed Brown

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

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
GWEN HRYCIW EICHENBAUM DMD, PHD
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 Cornell Family Dental's NPI number?

The NPI number for Cornell Family Dental is 1871841429. It was assigned to this organization in the NPPES registry on August 29, 2012. The provider was formerly known as Lindsay Freed Brown.

Where is Cornell Family Dental located?

Cornell Family Dental is located at 12889 NW Cornell Rd, Portland, OR 97229. The listed phone number is (503) 643-6643.

What is Cornell Family Dental's specialty?

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

When was this NPI record last updated?

The NPPES record for Cornell Family Dental was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.