OrganizationActive
Perio Aesthetics & Implantology
NPI 1174646129 · Periodontics · Beaverton, OR
Provider details
- NPI number
- 1174646129
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Alexis Mcclain, Front Office Coordinator(503) 645-3333
- License
- D8051 (OR)
Specialties & taxonomies
Dental Providers
Practice location
15455 Nw Greenbrier Pkwy
Suite 235
Beaverton, OR 97006-7374
Phone: (503) 645-3333
Fax: (503) 645-1760
Approximate (ZIP-level) locationGet directions
Mailing address
15455 Nw Greenbrier Pkwy
Beaverton, OR 97006-7374
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.