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Active NPI 1649692450 Organization (Entity Type 2)

Willamette

Dentist • Gresham, OR

About Willamette NPI 1649692450 Summary

Willamette is a verified healthcare organization specializing in Dentist operating in Gresham, OR. Located at 1107 NE BURNSIDE RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1649692450.

Administrative operations and authorized compliance are overseen by Sheida Kharrazi (Dentist).

The facility is associated with 7 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1107 Ne Burnside Rd

Gresham, OR 970305710

Telephone 5039522167

Authorized Official Information

Authorized Contact Name

DR. Sheida Kharrazi , DMD

Title / Role

Dentist

Official Telephone

5033100923

Facility Classifications & Specialties

Dentist Primary Taxonomy

NUCC Taxonomy Code: 122300000X

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

7 Linked

Dentist - General Practice

Gresham, OR

View Practitioner Profile →
April Tovar , RDH NPI 1124460241

Dental Hygienist

Gresham, OR

View Practitioner Profile →
Kayla Soto , RDH NPI 1134551229

Dental Hygienist

Gresham, OR

View Practitioner Profile →

Dentist - General Practice

Gresham, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active January 13, 2014

NPI status registered as active in NPPES database

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Updated Practice Location January 13, 2014

Registered at 1107 NE BURNSIDE RD, GRESHAM, OR 970305710 (Tel: 5039522167)

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Updated Business Mailing Address January 13, 2014

Registered at 6950 NE CAMPUS WAY, HILLSBORO, OR 971245611 (Tel: 5039522167)

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Organization / Clinic Name Updated January 13, 2014

Operating as WILLAMETTE

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2014

Dentist (License #7585 in OR)

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Initial NPI Registration & Enumeration January 13, 2014

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1649692450
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: January 13, 2014
Last Update: January 13, 2014

Mailing Address

6950 Ne Campus Way

Hillsboro, OR 971245611

Phone: 5039522167

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.