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TIMBER DENTAL
NPI 1992261192
Dentist - General Practice in Portland, OR

Active since February 13, 2019
3500 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212(503) 765-7355 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Feb 13, 2019 (2 updates tracked since 2019).

About Timber Dental NPPES

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

TIMBER DENTAL (NPI 1992261192) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since February 2019. The organization lists Ryan Berg, Billing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1992261192
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIMBER DENTAL
Location Address3500 NE MARTIN LUTHER KING JR BLVDPortland, OR 97212-2093
Mailing Address3500 Ne Martin Luther King Jr BlvdPortland, OR 97212-2093 · (503) 765-7355
Phone(503) 765-7355
Organization SubpartNo
Authorized OfficialRyan BergBilling Coordinator · (503) 419-6288
Enumeration DateFebruary 13, 2019
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
✔ NPI 1992261192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
3500 NE MARTIN LUTHER KING JR BLVD, Portland, OR 97212
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Other Identifiers 8

Other1033404751Npi
Other1144213802Npi
Other1851845036Npi
Other1295143212Npi
Other1952684169Npi
Other1821225442Npi
Other1780605287Npi
Other1639504715OR · Npi

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 5

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

CINTHIA HERNANDEZ
Behavior Analyst
3500 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 327-8205
JENNIFER WILKESON
Dental Hygienist
3500 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 765-7355
LEILY VILLELA
Student in an Organized Health Care Education/Training Program
3500 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 327-8205
TD NE PORTLAND GPS LLC
Dentist (General Practice)
3500 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 765-7355
MS. YOLANDA LANAE GONZALEZ MSW
Social Worker
3500 NE MARTIN LUTHER KING JR BLVD, SUITE 200
PORTLAND, OR 97212
Multnomah County (503) 327-8205

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 Timber Dental's NPI number?

The NPI number for Timber Dental is 1992261192. It was assigned to this organization in the NPPES registry on February 13, 2019.

Where is Timber Dental located?

Timber Dental is located at 3500 NE Martin Luther King Jr Blvd, Portland, OR 97212. The listed phone number is (503) 765-7355.

What is Timber 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 Timber Dental was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.