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

Parkrose Family Dentistry, PC

Organization Dentist · NPI 1295811180

Parkrose Family Dentistry, PC provides Dentist services in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3620 NE 122nd Ave
Portland, OR 97230-1365
Phone: (503) 254-5575
Fax: (503) 254-2162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D7324 (OR)

Record details

NPI number1295811180
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Tieu — Owner · (503) 254-5575
NPI enumeratedOctober 31, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3620 Ne 122nd Ave, Portland, OR 97230-1365

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