Patricia L Ridgley, D.M.D

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5402 Issued in OR

Practice address

18803 SW Boones Ferry Rd
Ste 5
Tualatin, OR 97062-8412

Phone

(503) 692-3747

Fax

(503) 612-6948

NPI assigned

Jul 8, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tualatin Pediatric Dentistry

  • Dental Clinic/Center
  • Tualatin, OR
  • NPI 1255762449
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265430821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1847",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970621847",
            "telephone_number": "503-692-3747",
            "fax_number": "503-612-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18803 SW BOONES FERRY RD",
            "address_2": "STE 5",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628412",
            "telephone_number": "503-692-3747",
            "fax_number": "503-612-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGLEY",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "5402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MILITARY",
            "identifier": "971432",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Revolutions Physical Therapy LLC
• Valerie Rice, P.T.
• Endre Ecker Richards, LD
• Sarah Jean Richardson, DPT
• Beatriz Tafolla Ridgley, QMHP
• Sarah Rim, PA-C
• Risen Medical, LLC
• Joshua Rivkin
• Robert D Cook MD PC
• Robert L Tatsumi MD PC

• Pediatric Dentistry in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.