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

Dr. Juanita Valles Boettcher, DMD

Individual provider General Practice Dentistry · NPI 1689697005

Dr. Juanita Valles Boettcher, DMD is a General Practice Dentistry in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
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

8615 SE 11th Ave
Portland, OR 97202-7011
Phone: (503) 516-1291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D8455 (OR)

Record details

NPI number1689697005
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

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