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

West Tabor Dental LLC

Organization General Practice Dentistry · NPI 1629936679

West Tabor Dental LLC is a General Practice Dentistry in Portland, Oregon. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5043 SE Hawthorne Blvd
Portland, OR 97215-3255
Phone: (503) 232-8847
Fax: (503) 232-6890
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1629936679
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Avritt — Office Manager · (503) 232-8847
NPI enumeratedJanuary 9, 2026
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing address5043 Se Hawthorne Blvd, Portland, OR 97215-3255

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