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

Dr. Bryce Bothwell, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891538237

Dr. Bryce Bothwell, DMD is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2730 S Moody Ave
Portland, OR 97201-5042
Phone: (503) 494-8867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (OR)

Record details

NPI number1891538237
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 14, 2024
Last updated in NPPESJune 14, 2024
Certification dateJune 13, 2024

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