Individual provider · Type 1 NPI

Richard I. Park, DMD

Pediatric Dentistry · Portland, OR

NPI number 1306843669 Active

Practice location

5415 SW Westgate Dr, Suite 207
Portland, OR 97221-2409

Call (503) 292-9274 Map

Fax (503) 292-2337

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X4262 (OR)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1306843669

Richard I. Park, DMD's National Provider Identifier is 1306843669, issued on Jul 1, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Portland, OR. The record was last updated on Jul 13, 2026.