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

Willamette Dental

Organization Preferred Provider Organization · NPI 1770905879

Willamette Dental is a Preferred Provider Organization in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014

Practice location Address checks out

17804 NW Marylhurst Dr
Portland, OR 97229-7913
Phone: (503) 533-1755
Show map & directions

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

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence H5086 (OR)

Record details

NPI number1770905879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elina Budrevich — Dental Hygienist · (503) 533-1755
NPI enumeratedJanuary 9, 2014
Last updated in NPPESJanuary 9, 2014
Mailing address4925 Sw Griffith Dr, Beaverton, OR 97005-2923

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