OrganizationActive
Kaiser Permamante
NPI 1003829391 · Dental Assistant · Clackamas, OR
Provider details
- NPI number
- 1003829391
- Entity type
- Organization
- Primary specialty
- Dental AssistantDental Providers
- Organization subpart
- No
- Authorized official
- Stephen Barton, Executive Director, Revenue Cycle(503) 813-2440
- License
- A5867 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10209 Se Sunnyside Rd
Clackamas, OR 97015-9782
Phone: (503) 353-3900
Fax: (503) 353-3903
Street-level locationGet directions
Mailing address
10209 Se Sunnyside Rd
Clackamas, OR 97215
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2022-06-23
- Certified
- 2022-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.