IndividualActive
Heidi Hansen, D.M.D.
NPI 1063655967 · Oral Medicine Dentistry · Portland, OR
Provider details
- NPI number
- 1063655967
- Entity type
- Individual
- Primary specialty
- Oral Medicine DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- D11216 (OR)
Practice location
4805 Ne Glisan St Ste 11n
Portland, OR 97213-2933
Phone: (503) 215-1676
Mailing address
Po Box 3158
Portland, OR 97208-3158
Registry dates
- Enumerated
- 2009-04-08
- Last updated
- 2023-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.