Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588071666 Individual Practitioner Female Practitioner

Dr. Cassondra Lynne Phillipsen , DMD

Dentist - General Practice • Banks, OR

Professional Overview & Biography Verified Profile Summary

Dr. Cassondra Phillipsen, DMD is a registered healthcare professional specializing in Dentist - General Practice in Banks, OR. Practice services are available at 15780 NW HARRYS PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15780 Nw Harrys Pl

Banks, OR 971068419

Telephone 5035939599
Associated Practice Facility / Clinic
🏢 Medical Teams International Facility NPI 1972117588

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Banks, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Banks, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D10086

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500676171 (OR)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
👤
Provider Name / Credentials Updated March 19, 2026

Recorded as CASSONDRA PHILLIPSEN, DMD

📍
Updated Practice Location October 04, 2023

Registered at 15780 NW HARRYS PL, BANKS, OR 971068419 (Tel: 5035939599)

📍
Updated Business Mailing Address October 04, 2023

Registered at 15780 NW HARRYS PL, BANKS, OR 971068419 (Tel: 5035939599)

👤
Provider Name / Credentials Updated October 04, 2023

Recorded as CASSONDRA PALACIOS, DMD

📍
Updated Practice Location October 16, 2018

Registered at 10690 NE CORNELL RD STE 220, HILLSBORO, OR 971249224 (Tel: 5038485861)

NPI Profile Active October 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2016

Registered at 18650 NW CORNELL RD STE 220, HILLSBORO, OR 971249212 (Tel: 5038485861)

📍
Updated Business Mailing Address October 06, 2016

Registered at 6420 SW MACADAM AVE, 300, PORTLAND, OR 972393507

👤
Provider Name / Credentials Updated October 06, 2016

Recorded as CASSONDRA PHILLIPSEN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2016

Dentist (License #D10086 in OR)

🟢
Initial NPI Registration & Enumeration July 21, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588071666
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2014
Last Update: March 19, 2026
Sole Proprietor: No

Mailing Address

15780 Nw Harrys Pl

Banks, OR 971068419

Phone: 5035939599

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.