Laura L Matin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6721 Issued in OR

Practice address

14740 NW Cornell Rd
#120
Portland, OR 97229-5496

Phone

(503) 690-0400

Fax

(503) 690-4586

NPI assigned

Oct 5, 2005

Last updated

Jul 13, 2026By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1548257413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14740 NW CORNELL RD",
            "address_2": "#120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295496",
            "telephone_number": "503-690-0400",
            "fax_number": "503-690-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14740 NW CORNELL RD",
            "address_2": "#120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295496",
            "telephone_number": "503-690-0400",
            "fax_number": "503-690-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIN",
        "first_name": "LAURA",
        "middle_name": "L",
        "name_prefix": "Prof.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "6721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050653",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Crystal Mathis, QMHA-R
• Lisa Mathis, CERTIFIED DOULA
• Sara Mathov, DC
• Viridiana Matias Hernandez
• Noah Matijascic, DPT
• Elizabeth Ann Matison
• Kimberly A Matkevich, OD
• Hallie Matlick
• Juliana Matragrano
• Rebecca Matro, M.D.

• General Practice Dentistry in Portland, OR
• Providers in Portland, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.