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

Willamette Dental

Organization Health Maintenance Organization · NPI 1194143065

Willamette Dental is a Health Maintenance Organization in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014

Practice location Address checks out

4925 SW Griffith Dr
Beaverton, OR 97005-2923
Phone: (855) 433-6825
Show map & directions

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

Specialties & licences

Health Maintenance Organization (primary) Taxonomy 302R00000X · Licence H5456 (OR)

Record details

NPI number1194143065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manimone Phanthamath — Dental Hygienist · (503) 715-7876
NPI enumeratedMarch 28, 2014
Last updated in NPPESMarch 28, 2014
Mailing address1333 Se 194th Pl, Camas, WA 98607-8664

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