OrganizationActive
Carly K Christoferson DMD PC
NPI 1548917321 · Dental Clinic/Center · Lake Oswego, OR
Provider details
- NPI number
- 1548917321
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carly Petersen, President(503) 758-8174
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
3900 Douglas Way
Lake Oswego, OR 97035-3446
Phone: (503) 636-8446
Fax: (503) 636-4446
Approximate (ZIP-level) locationGet directions
Mailing address
3900 Douglas Way
Lake Oswego, OR 97035-3446
Registry dates
- Enumerated
- 2022-03-02
- Last updated
- 2022-03-02
- Certified
- 2022-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.