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Active NPI 1811625569 Individual Practitioner Female Practitioner

Dr. Gwen Hryciw Eichenbaum , DMD, PhD

Dentist - General Practice • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Gwen Eichenbaum, DMD, PhD is a registered healthcare professional specializing in Dentist - General Practice in Portland, OR. Practice services are available at 12889 NW CORNELL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12889 Nw Cornell Rd

Portland, OR 972295813

Telephone 5036436643
Associated Practice Facility / Clinic
🏢 Cornell Family Dental Facility NPI 1871841429

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: 2026-01-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D11667

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

1 Associated Practitioners
Dr. Lindsay Freed , DMD

Dentist - General Practice

NPI 1578877528

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 20, 2026

Registered at 12889 NW CORNELL RD, PORTLAND, OR 972295813 (Tel: 5036436643)

👤
Provider Name / Credentials Updated January 20, 2026

Recorded as GWEN EICHENBAUM, DMD, PHD

✅
NPI Profile Active August 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2022

Registered at 15125 SW BEARD RD, BEAVERTON, OR 970077477 (Tel: 5035904300)

📍
Updated Business Mailing Address August 10, 2022

Registered at 14820 NW RIDGETOP CT, BEAVERTON, OR 970065404 (Tel: 5038888966)

👤
Provider Name / Credentials Updated August 10, 2022

Recorded as GWEN HRYCIW, DMD, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2022

Dentist (License #D11667 in OR)

🟢
Initial NPI Registration & Enumeration August 10, 2022

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: 1811625569
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2022
Last Update: January 20, 2026
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

14820 Nw Ridgetop Ct

Beaverton, OR 970065404

Phone: 5038888966

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.