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

Pediatric Dentistry of Portland LLC

Organization Pediatric Dentistry · NPI 1679924526

Pediatric Dentistry of Portland LLC is a Pediatric Dentistry in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2811 NE Wasco St
Portland, OR 97232-1771
Phone: (503) 284-5678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence D6853 (OR)

Record details

NPI number1679924526
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Noel Larsen — Owner · (503) 284-5678
NPI enumeratedJune 22, 2016
Last updated in NPPESJune 22, 2016
Mailing address2811 Ne Wasco St, Portland, OR 97232-1771

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