Active NPI
NW Portland Tendercare Dental PC
- Dental Clinic/Center
- Portland, OR
National Provider Identifier
1093632200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- NW PORTLAND TENDERCARE DENTAL PC
- Practice address
- 4074 NW Saltzman Rd Ste 107
Portland, OR 97229-2423 - Phone
- (503) 629-8005
- Fax
- (503) 629-9775
- NPI assigned
- Jun 30, 2026
- 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. Justin R Marostica, DMD
- Title
- Dentist/Owner
- Phone
- (503) 858-0741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
4074 NW Saltzman Rd Ste 107
Portland, OR 97229-2423
Mailing address
4074 NW Saltzman Rd Ste 107
Portland, OR 97229-2423
Phone (503) 629-8005
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Portland, OR
- NPI 1083614853
-
- Dentist
- Portland, OR
- NPI 1225038003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786320000000",
"number": "1093632200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4074 NW SALTZMAN RD STE 107",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972292423",
"telephone_number": "503-629-8005",
"fax_number": "503-629-9775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4074 NW SALTZMAN RD STE 107",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972292423",
"telephone_number": "503-629-8005",
"fax_number": "503-629-9775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NW PORTLAND TENDERCARE DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-30",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A",
"authorized_official_last_name": "MAROSTICA",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "503-858-0741",
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- NW Neurosurgery LLC
- NW Occupational Medicine Center
- NW Pediatrics Integrative Medicine LLC
- NW Portland Dental LLC
- NW Portland Holistic Counseling
- NW Psychiatric & Mental Health Services
- NW Spine Management Rehabilitation and Sports Conditioning, Inc
- NW Surgical Oncology PC
- Vanessa N Nwaokocha, MD
- Pawsay Nwee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.