IndividualActive
David Goldwyn, DDS
NPI 1962496315 · Periodontics · Portland, OR
Provider details
- NPI number
- 1962496315
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D8010 (OR)
Specialties & taxonomies
Dental Providers
Practice location
2350 Sw Multnomah Blvd
Portland, OR 97219-3999
Phone: (503) 245-0180
Fax: (503) 452-3634
Approximate (ZIP-level) locationGet directions
Mailing address
2350 Sw Multnomah Blvd
Portland, OR 97219-3999
Registry dates
- Enumerated
- 2005-08-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.