Willamette Dental
NPI 1194143065 · Health Maintenance Organization · Beaverton, OR
Willamette Dental is a Health Maintenance Organization organization in Beaverton, OR (NPI 1194143065).
Provider details
- NPI number
- 1194143065
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Manimone Phanthamath, Dental Hygienist(503) 715-7876
- License
- H5456 (OR)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2014-03-28
- Last updated
- 2014-03-28
Frequently asked questions
- What is Willamette Dental's NPI number?
- Willamette Dental's National Provider Identifier (NPI) is 1194143065, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willamette Dental?
- Willamette Dental is classified in the NPPES registry as Health Maintenance Organization (Managed Care Organizations).
- Where is Willamette Dental located?
- Willamette Dental's practice location on file with NPPES is 4925 Sw Griffith Dr, Beaverton, OR 97005-2923.
- What is Willamette Dental's phone number?
- The practice phone number listed in the NPPES registry for Willamette Dental is (855) 433-6825.
- Who is the authorized official for Willamette Dental?
- The authorized official listed on Willamette Dental's NPPES record is Manimone Phanthamath, Dental Hygienist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willamette Dental's NPI active?
- Yes — Willamette Dental's NPI (1194143065) is active in the NPPES registry as of the last update on 2014-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.