IndividualActive
Richard Tillman
NPI 1417957010 · General Practice Dentistry · Portland, OR
Richard Tillman is a General Practice Dentistry provider in Portland, OR (NPI 1417957010).
Provider details
- NPI number
- 1417957010
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- License
- 4466 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
833 Sw 11th Ave
Suite 600
Portland, OR 97205-2125
Phone: (503) 223-9725
Street-level locationGet directions
Mailing address
6500 Se Scott Dr
Portland, OR 97215-2018
Registry dates
- Enumerated
- 2005-07-26
- Last updated
- 2007-07-08
Frequently asked questions
- What is Richard Tillman's NPI number?
- Richard Tillman's National Provider Identifier (NPI) is 1417957010, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Tillman's specialty?
- Richard Tillman is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Richard Tillman located?
- Richard Tillman's practice location on file with NPPES is 833 Sw 11th Ave, Portland, OR 97205-2125.
- What is Richard Tillman's phone number?
- The practice phone number listed in the NPPES registry for Richard Tillman is (503) 223-9725.
- Is Richard Tillman's NPI active?
- Yes — Richard Tillman's NPI (1417957010) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.