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

Pediatric Dentistry of Portland LLC

Organization Pediatric Dentistry · NPI 1679924526

Pediatric Dentistry of Portland LLC provides Pediatric Dentistry in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2811 NE Wasco St
Portland, OR 97232-1771 Not confirmed with CMS for 10 years — call before visiting
Phone: (503) 284-5678
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D6853 (OR)

Record details

NPI number1679924526
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Noel Larsen — Owner · (503) 284-5678
NPI enumeratedJune 22, 2016
Last updated in NPPESJune 22, 2016
Mailing address2811 Ne Wasco St, Portland, OR 97232-1771

Other providers in Portland