OrganizationActive
Providence Health & Services-Oregon
NPI 1124343215 · Dental Clinic/Center · Portland, OR
Provider details
- NPI number
- 1124343215
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Patricia Budo, Operations Administrator(503) 215-2413
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
16 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
830 Ne 47th Ave
Attn: Dental Clinic
Portland, OR 97213-2212
Phone: (503) 215-2400
Fax: (503) 215-0660
Street-level locationGet directions
Mailing address
830 Ne 47th Ave
Portland, OR 97213-2212
Other names (DBA / former)
- Doing business as
- Providence Child Center
Registry dates
- Enumerated
- 2010-03-31
- Last updated
- 2010-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.