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

Dr. Natalie Rose Wickline, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629862354

Dr. Natalie Rose Wickline, DDS is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone: (503) 494-8211
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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

Record details

NPI number1629862354
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 7, 2025
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098

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