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Gwen Eichenbaum, DMD, PHD
NPI 1811625569 · General Practice Dentistry · Portland, OR
Gwen Eichenbaum, DMD, PHD is a General Practice Dentistry provider in Portland, OR (NPI 1811625569).
Provider details
- NPI number
- 1811625569
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD, PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- D11667 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
12889 Nw Cornell Rd
Portland, OR 97229-5813
Phone: (503) 643-6643
Street-level locationGet directions
Mailing address
14820 Nw Ridgetop Ct
Beaverton, OR 97006-5404
Registry dates
- Enumerated
- 2022-08-10
- Last updated
- 2026-01-20
- Certified
- 2026-01-20
Frequently asked questions
- What is Gwen Eichenbaum's NPI number?
- Gwen Eichenbaum's National Provider Identifier (NPI) is 1811625569, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gwen Eichenbaum's specialty?
- Gwen Eichenbaum is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Gwen Eichenbaum located?
- Gwen Eichenbaum's practice location on file with NPPES is 12889 Nw Cornell Rd, Portland, OR 97229-5813.
- What is Gwen Eichenbaum's phone number?
- The practice phone number listed in the NPPES registry for Gwen Eichenbaum is (503) 643-6643.
- Is Gwen Eichenbaum's NPI active?
- Yes — Gwen Eichenbaum's NPI (1811625569) is active in the NPPES registry as of the last update on 2026-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.