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

Pacific Dental Institute

Organization Prosthodontics · NPI 1619180007

Pacific Dental Institute is a Prosthodontics in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007

Practice location Address checks out

12750 SW 68th Ave
Portland, OR 97223-8596
Phone: (503) 639-5136
Fax: (503) 620-0187
Show map & directions

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

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence D7165 (OR)

Record details

NPI number1619180007
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Sorensen — Director · (503) 639-5136
NPI enumeratedMay 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing address12750 Sw 68th Avenue, Portland, OR 97223

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