IndividualActive
Lan Gao, D.D.S
NPI 1720214059 · Dentist · Beaverton, OR
Provider details
- NPI number
- 1720214059
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S
- Sex
- Female
- Sole proprietor
- No
- License
- DE61395735 (WA)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
4095 Sw 144th Ave Ste a
Beaverton, OR 97005-2368
Phone: (503) 643-4719
Fax: (503) 626-9488
Street-level locationGet directions
Mailing address
Po Box 34703
Seattle, WA 98124-1703
Additional practice locations (2)
- 19005 Se 34th StVancouver, WA 98683-1450Phone: (607) 266-7303Fax: (360) 726-6731
- 1412 Ne 88th StVancouver, WA 98665-9620Phone: (360) 574-4074Fax: (360) 574-9237
Registry dates
- Enumerated
- 2009-06-01
- Last updated
- 2025-08-14
- Certified
- 2025-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.