Organization Active NPI

Jennifer L. Rosales DMD LLC

  • General Practice Dentistry
  • Portland, OR
National Provider Identifier
1962324434
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JENNIFER L. ROSALES DMD LLC
Practice address
2350 SW Multnomah Blvd Ste I
Portland, OR 97219-3999
Phone
(503) 560-3296
NPI assigned
Jul 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Jennifer Rosales, DMD
Title
Member
Phone
(503) 560-3296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2350 SW Multnomah Blvd Ste I
Portland, OR 97219-3999

Mailing address

4600 SW Joshua St
Tualatin, OR 97062-7703

Other names 1

  • Leviosa Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2350 SW Multnomah Blvd
Ste I
Portland, OR 97219

NPI Registry JSON

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1962324434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 SW JOSHUA ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 SW MULTNOMAH BLVD STE I",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193999",
            "telephone_number": "503-560-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER L. ROSALES DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "ROSALES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-560-3296",
        "authorized_official_credential": "DMD"
    },
    "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": "Leviosa Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 28, 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.