Ronald Glen Packham, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7041 Issued in OR

Practice address

18455 SW Alexander St
Suite B
Aloha, OR 97006-3967

Phone

(503) 649-9927

Fax

(503) 649-9927

NPI assigned

Sep 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346236718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20010 SW ALEXANDER ST",
            "address_2": "SUITE B",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970032275",
            "telephone_number": "503-649-9927",
            "fax_number": "503-649-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18455 SW ALEXANDER ST",
            "address_2": "SUITE B",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970063967",
            "telephone_number": "503-649-9927",
            "fax_number": "503-649-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKHAM",
        "first_name": "RONALD",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "7041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oregon Medical Centers LLC
• Sharon Ann Ormiston, RPH
• Raquel Orona
• Brittney Owen
• Robin Owens
• Shiadani Rubi Palos, BS
• Patrick S Williams MD PC
• Peak Health Chiropractic LLC
• Pearl Endodontics, PC
• Holly Ann Pennington, PHARMACY TECHNICIAN

• General Practice Dentistry in Aloha, OR
• Providers in Aloha, OR by specialty
• General Practice 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.