Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144119660 Individual Practitioner Male Practitioner

Peter Clair Robinson Widmer

Dental Assistant • Portland, OR

Professional Overview & Biography Verified Profile Summary

Peter Clair Widmer is a registered healthcare professional specializing in Dental Assistant in Portland, OR. Practice services are available at 12750 SE STARK ST BLDG E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12750 Se Stark St Bldg E

Portland, OR 972331539

Telephone 9713473009
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dental Assistant in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
104 Specialists

Practicing in Portland, OR (298 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: 2025-06-06
Dental Assistant Primary Specialty

NUCC Taxonomy Code: 126800000X

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
NPI 1003704727

DENTALASSISTANT

NPI 1023995925
Rachel Morsette , DA

Dental Assistant

NPI 1033662085
Jourdan Burklund , RDH

Dental Hygienist

NPI 1043759616

Registered Dental Hygienist

Lanae Washburn , RDH

Dental Hygienist

NPI 1114595220

Registered Dental Hygienist

Sante Van Meter , DA

Dental Assistant

NPI 1285281691

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 30, 2025

NPI status registered as active in NPPES database

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Updated Practice Location June 30, 2025

Registered at 12750 SE STARK ST BLDG E, PORTLAND, OR 972331539 (Tel: 9713473009)

📍
Updated Business Mailing Address June 30, 2025

Registered at 3262 NW VANBUREN AVE, CORVALLIS, OR 97330 (Tel: 5418293049)

👤
Provider Name / Credentials Updated June 30, 2025

Recorded as PETER CLAIR WIDMER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2025

Dental Assistant

🟢
Initial NPI Registration & Enumeration June 30, 2025

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: 1144119660
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2025
Last Update: June 30, 2025
Sole Proprietor: Yes

Mailing Address

3262 Nw Vanburen Ave

Corvallis, OR 97330

Phone: 5418293049

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.