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NPI Code Detail

MEDICARE: WILLAMETTE DENTAL GROUP, P.C.

MEDICARE: WILLAMETTE DENTAL GROUP, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist

General Provider Information

NPI Number : 1386848695
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLAMETTE DENTAL GROUP, P.C.
Provider Business Mailing Address
First Line : 6950 NE CAMPUS WAY
Second Line :
City : HILLSBORO
State : OR
Zip : 97124-5611
Country : US
Telephone Number : 503-952-2571
Fax Number : 503-952-2871
Provider Business Practice Location Address
First Line : 6950 NE CAMPUS WAY
Second Line :
City : HILLSBORO
State : OR
Zip : 97124-5611
Country : US
Telephone Number : 503-952-2571
Fax Number : 503-952-2871
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. YUEN CHIN
Credential :
Telephone Number : 503-952-2134
Provider Enumeration Date : 06/12/2007
Last Update Date : 06/02/2026

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