Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaiser Permanente Dental Care Program

Organization Dentist · NPI 1861918005

Kaiser Permanente Dental Care Program is a Dentist in Portland, Oregon. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2

Practice location Address checks out

2930 NE Dekum St
Portland, OR 97211-6613
Phone: (800) 813-2000
Fax: (503) 286-6879
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X
Dental Hygienist Taxonomy 124Q00000X

Record details

NPI number1861918005
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKaiser Foundation Health Plan of the NW
Authorized official Amy Marko — Dental Business Leader · (503) 813-4660
Other names Kaiser Permanente 3 To Phd Dental
NPI enumeratedAugust 18, 2017
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021
Mailing address500 Ne Multnomah St, Portland, OR 97232-2023

Other providers in Portland