TD NE Portland GPS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TD NE PORTLAND GPS LLC

Doing business as

Timber Dental NE Portland

Practice address

3500 NE Martin Luther King Jr Blvd
Portland, OR 97212-2093

Phone

(503) 765-7355

NPI assigned

Mar 3, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Matt Kathan

Title

Owner

Phone

(503) 765-7355

Specialties & licenses 1

Addresses

Other names 1

• Timber Dental NE Portland Doing business as

Locations

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1659226926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 NE MARTIN LUTHER KING JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 NE MARTIN LUTHER KING JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122093",
            "telephone_number": "503-765-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TD NE PORTLAND GPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "KATHAN",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-765-7355",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timber Dental NE Portland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• TCV Senior Living, LLC (Town Center Village)
• TD Bethany GPS LLC (Timber Dental Bethany)
• TD Downtown GPS LLC (Timber Dental Downtown)
• TD East Burnside GPS LLC (Timber Dental East Burnside)
• TD Lombard GLD LLC (Timber Dental Lombard)
• Heather Marie Teach, LMT
• Jordyn Kristine Teague
• Lisa Teague, LMT
• McKenna Troi Teague, LCSW
• Melissa Ann Teahen, AU.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 Apr 14, 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.