OrganizationActive
Randall N Freed, D.M.D.
NPI 1063726644 · Clinic/Center · Portland, OR
Provider details
- NPI number
- 1063726644
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Randall Freed, Owner/Dentist(503) 646-9687
- License
- 5171 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
12887 Nw Cornell Rd
Ste a
Portland, OR 97229-5894
Phone: (503) 646-9687
Fax: (503) 619-0066
Street-level locationGet directions
Mailing address
12887 Nw Cornell Rd
Portland, OR 97229-5894
Other names (DBA / former)
- Other name
- Cornell Family Dental
Registry dates
- Enumerated
- 2010-08-05
- Last updated
- 2010-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.