NPI 1457763195

Willamette Dental Group

Organisation Health Maintenance Organization Beaverton, OR

Practice location

Address: 4925 SW Griffith Dr, Beaverton, OR 97005-2923
Phone: (503) 444-1822

Authorised official

Name: Lindsey Kathleen Reeves
Title: Dental Hygienist
Phone: (503) 444-1822

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence H6635 (OR)

Other Health Maintenance Organization providers in Oregon →

Registry record

NPI: 1457763195
Entity type: Organization
NPI issued: 29 May 2014
Record last updated: 29 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.