Healthcare Provider Details

I. General information

NPI: 1518003847
Provider Name (Legal Business Name): DREW M PERRY OD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5317 E MAIN ST
HILLSBORO OR
97123-6447
US

IV. Provider business mailing address

5317 E MAIN ST
HILLSBORO OR
97123-6447
US

V. Phone/Fax

Practice location:
  • Phone: 503-648-5522
  • Fax: 503-844-9334
Mailing address:
  • Phone: 503-648-5522
  • Fax: 503-844-9334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number1938ATI
License Number StateOR

VIII. Authorized Official

Name: DREW MATTHEW PERRY
Title or Position: PRESIDENT
Credential: OD
Phone: 503-648-5522