OrganizationActive
Oral Health Outreach, LLC
NPI 1194002725 · Dental Clinic/Center · Lake Oswego, OR
Provider details
- NPI number
- 1194002725
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joseph Markunas, Ceo(503) 702-1113
- License
- D7025 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
4949 Meadows Rd
Suite 475
Lake Oswego, OR 97035-4285
Phone: (503) 702-1113
Fax: (503) 697-1990
Street-level locationGet directions
Mailing address
4949 Meadows Rd
Lake Oswego, OR 97035-4285
Registry dates
- Enumerated
- 2011-11-10
- Last updated
- 2011-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.