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NPI 1447848023 · live from the CMS NPI Registry

Portland Orthodontic Group, LLC

Dentist, Orthodontics and Dentofacial Orthopedics in Portland, OR. National Provider Identifier 1447848023, active.

NPI record

NPI1447848023 Type 2 · organization
StatusActive
Primary specialtyDentist, Orthodontics and Dentofacial Orthopedics 1223X0400X
Practice location3332 N Lombard St Ste B, Portland, OR 97217
Practice phone503-289-1992
EnumeratedJanuary 8, 2021
Last updatedOctober 8, 2026
Authorized officialJennifer Crowe, Managing Member/Orthodontist

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, Orthodontics and Dentofacial Orthopedics primary1223X0400X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.