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Northwest Oral Health Outreach LLC

Dental Clinic/Center in Ellensburg, WA · enumerated 2015 · authorized official Brenden Davis, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629445929

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Registry record

Entity type Organization (Type 2)
Legal business name Northwest Oral Health Outreach LLC
Other name <Unavail>
Practice address 2353 Lower Green Canyon Rd, Ellensburg, WA, 98926
Enumeration date Aug 21, 2015
Last updated in NPPES Aug 21, 2015

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities · License 603513887 (WA) Primary

Authorized official

Name Brenden Davis
Title Ceo

Other identifiers

Identifier Type State Issuer
0255549 Other WA LABOR & INDUSTRIES
5060215 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-08-21. Verify at npiregistry.cms.hhs.gov.
Where is Northwest Oral Health Outreach LLC located?
The practice location on file with NPPES is in Ellensburg, WA.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-08-21.