OrganizationActive
Willamette Dental Group
NPI 1457763195 · Health Maintenance Organization · Beaverton, OR
Provider details
- NPI number
- 1457763195
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Lindsey Reeves, Dental Hygienist(503) 444-1822
- License
- H6635 (OR)
Specialties & taxonomies
Managed Care Organizations
Practice location
4925 Sw Griffith Dr
Beaverton, OR 97005-2923
Phone: (503) 444-1822
Approximate (ZIP-level) locationGet directions
Mailing address
4925 Sw Griffith Dr
Beaverton, OR 97005-2923
Registry dates
- Enumerated
- 2014-05-29
- Last updated
- 2014-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.