TIMBER DENTAL EAST BURNSIDE NPI 1780140715

NPI Information

  • NPI: 1780140715
  • Provider Name: TIMBER DENTAL EAST BURNSIDE
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1200 SE SANDY BLVD
    PORTLAND, OR
    ZIP 97214
  • Phone: (503) 419-6499

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NPI Details

TIMBER DENTAL EAST BURNSIDE is a general practice dentist in Portland, OR. The provider is 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. TIMBER DENTAL EAST BURNSIDE NPI is 1780140715. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 SE SANDY BLVD
PORTLAND, OR
ZIP 97214-347
Phone: (503) 419-6499

The provider's authorized official is Ryan Berg .
The authorized official title is Billing Coordinator and has the following contact phone number (503) 419-6288.

The enumeration date for this NPI number is 2/14/2019 and was last updated on 6/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11821225442OTHERNPI
21639504715OTHERNPI
31780605287OTHERNPI
41952684169OTHERNPI
51295143212OTHERNPI
61033404751OTHERNPI
71144213802OTHERNPI
81851845036OTHERNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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