IndividualActive
Yvonne Otis, DMD
NPI 1730072968 · General Practice Dentistry · Portland, OR
Provider details
- NPI number
- 1730072968
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- D12203 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
10300 Se Washington St Ste C101
Portland, OR 97216-2805
Phone: (037) 763-0915
Street-level locationGet directions
Mailing address
1025 Se 11th Ave
Portland, OR 97214-2486
Additional practice locations (1)
- 113 Valley View CirBarre, VT 05641-9602Phone: (802) 476-3140
Registry dates
- Enumerated
- 2025-05-28
- Last updated
- 2025-08-25
- Certified
- 2025-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.