OrganizationActive
Cedar Hills Legacy Dental LLC
NPI 1659632677 · Dental Clinic/Center · Portland, OR
Provider details
- NPI number
- 1659632677
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sheryl Ecklund, Office Manager(503) 644-2910
- License
- D9096 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
2375 Sw Cedar Hills Blvd
Portland, OR 97225-4513
Phone: (503) 644-2910
Fax: (503) 646-5565
Street-level locationGet directions
Mailing address
2375 Sw Cedar Hills Blvd
Portland, OR 97225-4513
Registry dates
- Enumerated
- 2012-06-06
- Last updated
- 2012-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.