OrganizationActive
The Friends of Creston Children'S Dental Clinic
NPI 1568785848 · Voluntary or Charitable Agency · Portland, OR
Provider details
- NPI number
- 1568785848
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lora Mattsen, Secretary/Treasurer(503) 513-5010
- License
- D5168 (OR)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
4701 Se Bush St
Portland, OR 97206-3283
Phone: (503) 916-5808
Street-level locationGet directions
Mailing address
10505 Se 17th Ave
Milwaukie, OR 97222-7475
Registry dates
- Enumerated
- 2010-03-01
- Last updated
- 2010-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.