OrganizationActive
Willamette Dental
NPI 1356771786 · Preferred Provider Organization · Beaverton, OR
Provider details
- NPI number
- 1356771786
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Loan Phan, Dental Hygiene(971) 222-8003
- License
- H5284 (OR)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(76/100 index)
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
4925 Sw Griffith Dr
Beaverton, OR 97005
Phone: (971) 222-8003
Street-level locationGet directions
Mailing address
16213 Sw Bray Ln
Tigard, OR 97224
Registry dates
- Enumerated
- 2013-11-21
- Last updated
- 2013-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.