Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

East Portland Dentistry

Organization General Practice Dentistry · NPI 1255544417

East Portland Dentistry provides General Practice Dentistry in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007

Practice location Address checks out

9 NE 120th Ave
Portland, OR 97220-2348 Not confirmed with CMS for 10 years — call before visiting
Phone: (503) 255-2424
Fax: (503) 253-0150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 380578 (OR)

Record details

NPI number1255544417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Keller — Office Coordinator · (503) 255-2424
NPI enumeratedMay 7, 2007
Last updated in NPPESJanuary 28, 2016
Mailing address9 Ne 120th Ave, Portland, OR 97220-2348

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