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

Willamette

Organization Dentist · NPI 1649692450

Willamette is a Dentist in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014
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Practice location Address checks out

1107 NE Burnside Rd
Gresham, OR 97030-5710
Phone: (503) 952-2167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7585 (OR)

Record details

NPI number1649692450
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sheida Kharrazi — Dentist · (503) 310-0923
NPI enumeratedJanuary 13, 2014
Last updated in NPPESJanuary 13, 2014
Mailing address6950 Ne Campus Way, Hillsboro, OR 97124-5611

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