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

Richard Lee Tillman

Individual provider General Practice Dentistry · NPI 1417957010

Richard Lee Tillman is a General Practice Dentistry in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2005.

Licensed in
OR
In the registry since
2005

Practice location Address checks out

833 SW 11th Ave Ste 600
Portland, OR 97205-2125
Phone: (503) 223-9725
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4466 (OR)

Record details

NPI number1417957010
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESJuly 13, 2026

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