IndividualActive
Brandon Zegarowski, DDS
NPI 1871368142 · Orthodontics and Dentofacial Orthopedics Dentistry · Portland, OR
Provider details
- NPI number
- 1871368142
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- D11914 (OR)
Specialties & taxonomies
Dental Providers
Practice location
5216 Se Woodstock Blvd
Portland, OR 97206-6150
Phone: (925) 286-6422
Approximate (ZIP-level) locationGet directions
Mailing address
3601 S River Pkwy Unit 2500
Portland, OR 97239-4565
Registry dates
- Enumerated
- 2023-11-16
- Last updated
- 2023-11-16
- Certified
- 2023-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.