Willamette Dental Group

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

H6635 Issued in OR

Legal business name

WILLAMETTE DENTAL GROUP

Practice address

4925 SW Griffith Dr
Beaverton, OR 97005-2923

Phone

(503) 444-1822

NPI assigned

May 29, 2014

Organization subpart

No

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

Authorized official

Name

Lindsey Kathleen Reeves

Title

Dental Hygienist

Phone

(503) 444-1822

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1457763195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 SW GRIFFITH DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052923",
            "telephone_number": "503-444-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 SW GRIFFITH DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052923",
            "telephone_number": "503-444-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "DENTAL HYGIENIST",
        "authorized_official_telephone_number": "503-444-1822"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OR",
            "license": "H6635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Wilkins, LCSW
• Denise Wilkinson, O.D.
• Willamette Dental
• Willamette Dental
• Willamette Dental
• Elaine Karen Willbanks, RN
• Jonathan Willden, MA, LPC INTERN
• Willettedental
• Alice Maureen Williams, LPC, LMFT
• Andrew A Williams, DO

• Health Maintenance Organization in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Health Maintenance Organization in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.