IndividualActive
Robert Henshaw, DDS
NPI 1699824151 · Periodontics · Portland, OR
Provider details
- NPI number
- 1699824151
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- D7714 (OR)
Specialties & taxonomies
Dental Providers
Practice location
11786 Sw Barnes Rd
Suite 210
Portland, OR 97225-5925
Phone: (503) 531-3550
Fax: (503) 531-3560
Approximate (ZIP-level) locationGet directions
Mailing address
11786 Sw Barnes Rd
Portland, OR 97225-5925
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.