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Active NPI 1043634579 Individual Practitioner Male Practitioner

Dr. Michael Steven Blindheim , DMD

Dentist - General Practice • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Michael Blindheim, DMD is a registered healthcare professional specializing in Dentist - General Practice in Portland, OR. Practice services are available at 17130 SW UPPER BOONES FERRY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17130 Sw Upper Boones Ferry Rd

Portland, OR 972247004

Telephone 5036396620
Associated Practice Facility / Clinic
🏢 Eugene C. Skourtes, Inc., Ps Facility NPI 1457554016

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
448 Specialists

Practicing in Portland, 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: 2025-12-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D9753

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Trevor Woolf , DDS

Dentist - General Practice

NPI 1306983440

Doctor of Dental Surgery

NPI 1902044761

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active May 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2015

Registered at 17130 SW UPPER BOONES FERRY RD, PORTLAND, OR 972247004 (Tel: 5036396620)

📍
Updated Business Mailing Address May 19, 2015

Registered at 6950 NE CAMPUS WAY, HILLSBORO, OR 971245611 (Tel: 5039522125)

👤
Provider Name / Credentials Updated May 19, 2015

Recorded as MICHAEL BLINDHEIM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2015

Dentist (License #D9753 in OR)

🟢
Initial NPI Registration & Enumeration February 04, 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: 1043634579
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2014
Last Update: December 01, 2025
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

6950 Ne Campus Way

Hillsboro, OR 971245611

Phone: 5039522125

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.