Dental Professionals of Oregon, P.C.
NPI 1508484205ActiveOrganization· Dentist, General Practice· Beaverton, OR
Dentist, General Practice in Beaverton, Oregon, registered in NPPES in July 2020, part of Dental Professionals of Oregon, P.C. The authorized official on file is Tabatha Lemke, Credentialing Coordinator.
Overview
| NPI | 1508484205 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Professionals of Oregon, P.C. |
| NPI issued | Jul 9, 2020 |
| Last updated in NPPES | Jul 9, 2020 |
| Certified by provider | Jul 9, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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