Active NPI
Vicki J Reichlein DMD PC
- Dental Clinic/Center
- Gresham, OR
National Provider Identifier
1003572223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- VICKI J REICHLEIN DMD PC
- Practice address
- 1388 E Powell Blvd
Gresham, OR 97030-8004 - Phone
- (503) 328-6388
- Fax
- (503) 328-9776
- NPI assigned
- Nov 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vicki J Reichlein, DMD
- Title
- Owner
- Phone
- (971) 219-7114
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1388 E Powell Blvd
Gresham, OR 97030-8004
Mailing address
13201 SE Blackberry Cir
Portland, OR 97236-4995
Phone (971) 219-7114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150298 | Medicaid | OR |
Other names 1
- Hood View Dental
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Gresham, OR
- NPI 1285795690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636588800000",
"number": "1003572223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13201 SE BLACKBERRY CIR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972364995",
"telephone_number": "971-219-7114",
"fax_number": "503-761-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1388 E POWELL BLVD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970308004",
"telephone_number": "503-328-6388",
"fax_number": "503-328-9776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICKI J REICHLEIN DMD PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-11",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A",
"authorized_official_last_name": "REICHLEIN",
"authorized_official_first_name": "VICKI",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "971-219-7114",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150298",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hood View Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.