Individual provider · Type 1 NPI

Juanita Valles Boettcher, DMD

General Practice Dentistry · Portland, OR

NPI number 1689697005 Active

Practice location

8615 SE 11th Ave
Portland, OR 97202-7011

Call (503) 516-1291 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD8455 (OR)

General Practice Dentistry: 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.

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About NPI 1689697005

Juanita Valles Boettcher, DMD's National Provider Identifier is 1689697005, issued on Jul 26, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portland, OR. The record was last updated on Mar 25, 2025.