Active NPI
Rebecca K Morisse, DMD
- General Practice Dentistry
- Portland, OR
National Provider Identifier
1306841721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D8069
- Practice address
- 8422 SW Terwilliger Blvd
Portland, OR 97219-4549 - Phone
- (503) 244-8243
- Fax
- (503) 244-9293
- NPI assigned
- Jun 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D8069 | OR | Primary |
Addresses
Primary practice location
8422 SW Terwilliger Blvd
Portland, OR 97219-4549
Mailing address
8422 SW Terwilliger Blvd
Portland, OR 97219-4549
Phone (503) 244-8243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150204000532 | OR | Order and Referring Only - Other (Non-Physician) | 6002131513 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1306841721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8422 SW TERWILLIGER BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972194549",
"telephone_number": "503-244-8243",
"fax_number": "503-244-9293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8422 SW TERWILLIGER BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972194549",
"telephone_number": "503-244-8243",
"fax_number": "503-244-9293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORISSE",
"first_name": "REBECCA",
"middle_name": "K",
"name_prefix": "Prof.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D8069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.