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

Jason Atack, DMD

Individual provider General Practice Dentistry · NPI 1235382557

Jason Atack, DMD is a General Practice Dentistry in Beaverton, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2008
Specialties on file
2
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

14125 SW Farmington Rd
Beaverton, OR 97005-2567
Phone: (503) 646-4432
Fax: (971) 223-1710
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D9201 (OR)
General Practice Dentistry Taxonomy 1223G0001X · Licence 9201 (OR)

Record details

NPI number1235382557
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedOctober 30, 2008
Last updated in NPPESJanuary 31, 2018
Mailing address14125 Sw Farmington Rd, Beaverton, OR 97005-2567

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