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

The Friends of Creston Children's Dental Clinic

Organization Voluntary or Charitable Agency · NPI 1568785848

The Friends of Creston Children's Dental Clinic is a Voluntary or Charitable Agency in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2010.

Licensed in
OR
In the registry since
2010

Practice location Address checks out

4701 SE Bush St
Portland, OR 97206-3283
Phone: (503) 916-5808
Show map & directions

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

Specialties & licences

Voluntary or Charitable Agency (primary) Taxonomy 251V00000X · Licence D5168 (OR)

Record details

NPI number1568785848
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lora Mattsen — Secretary/Treasurer · (503) 513-5010
NPI enumeratedMarch 1, 2010
Last updated in NPPESMarch 1, 2010
Mailing address10505 Se 17th Ave, Multnomah Dental Society, Milwaukie, OR 97222-7475

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