OrganizationActive
Willamette Dental
NPI 1770905879 · Preferred Provider Organization · Portland, OR
Willamette Dental is a Preferred Provider Organization organization in Portland, OR (NPI 1770905879).
Provider details
- NPI number
- 1770905879
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Elina Budrevich, Dental Hygienist(503) 533-1755
- License
- H5086 (OR)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
17804 Nw Marylhurst Dr
Portland, OR 97229-7913
Phone: (503) 533-1755
Street-level locationGet directions
Mailing address
4925 Sw Griffith Dr
Beaverton, OR 97005-2923
Registry dates
- Enumerated
- 2014-01-09
- Last updated
- 2014-01-09
Frequently asked questions
- What is Willamette Dental's NPI number?
- Willamette Dental's National Provider Identifier (NPI) is 1770905879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willamette Dental?
- Willamette Dental is classified in the NPPES registry as Preferred Provider Organization (Managed Care Organizations).
- Where is Willamette Dental located?
- Willamette Dental's practice location on file with NPPES is 17804 Nw Marylhurst Dr, Portland, OR 97229-7913.
- What is Willamette Dental's phone number?
- The practice phone number listed in the NPPES registry for Willamette Dental is (503) 533-1755.
- Who is the authorized official for Willamette Dental?
- The authorized official listed on Willamette Dental's NPPES record is Elina Budrevich, Dental Hygienist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willamette Dental's NPI active?
- Yes — Willamette Dental's NPI (1770905879) is active in the NPPES registry as of the last update on 2014-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.