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

Periopdx

Organization Periodontics · NPI 1275303109

Periopdx is a Periodontics in Portland, Oregon. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1130 SE 122nd Ave
Portland, OR 97233-1112
Phone: (503) 252-5515
Fax: (503) 255-1625
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1275303109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Duy Anh Tran — Owner · (503) 380-5872
NPI enumeratedJanuary 2, 2024
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024
Mailing address14780 Sw Osprey Dr Ste 240a, Beaverton, OR 97007-8424

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