GWEN EICHENBAUM, DMD, PHD

Dentist - General Practice

Active Individual
NPI: 1811625569

Practice Address

12889 NW CORNELL RD
Portland, OR 97229

Phone: (503) 643-6643

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes D11667 (OR)

Frequently Asked Questions

NPI 1811625569 is the National Provider Identifier for GWEN EICHENBAUM, DMD, PHD, a Dentist - General Practice provider located in Portland, OR. This NPI was enumerated on August 10, 2022.
GWEN EICHENBAUM, DMD, PHD practices at 12889 NW CORNELL RD, Portland, OR 97229.

Quick Facts

NPI
1811625569
Type
Individual
Enumerated
Aug 10, 2022
Last Updated
Jan 20, 2026

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