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

Michelle C. Crocker, DMD, PC

Organization Dentist · NPI 1235456153

Michelle C. Crocker, DMD, PC is a Dentist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2010.

Licensed in
OR
In the registry since
2010
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

11786 SW Barnes Rd Ste 320
Portland, OR 97225-5930
Phone: (503) 641-3550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D8443 (OR)

Record details

NPI number1235456153
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Crocker — President · (503) 515-6092
NPI enumeratedMay 2, 2010
Last updated in NPPESMay 2, 2010
Mailing address13195 Sw Shore Dr, Tigard, OR 97223-1683

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