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

Parkrose Family Dentistry, PC

Organization Dentist · NPI 1295811180

Parkrose Family Dentistry, PC is a Dentist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
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

3620 NE 122nd Ave
Portland, OR 97230-1365
Phone: (503) 254-5575
Fax: (503) 254-2162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D7324 (OR)

Record details

NPI number1295811180
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Tieu — Owner · (503) 254-5575
NPI enumeratedOctober 31, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3620 Ne 122nd Ave, Portland, OR 97230-1365

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