OrganizationActive
Columbia River Dentistry-Gresham, LLC
NPI 1508416041 · Dental Clinic/Center · Gresham, OR
Provider details
- NPI number
- 1508416041
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Debbie Lopez, Regional Manager(503) 914-8221
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1700 Nw Civic Dr Ste 320
Gresham, OR 97030-3774
Phone: (503) 666-5200
Street-level locationGet directions
Mailing address
1700 Nw Civic Dr Ste 320
Gresham, OR 97030-3774
Registry dates
- Enumerated
- 2019-09-17
- Last updated
- 2019-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.