Willamette
Willamette is a healthcare organization registered as Dentist in Gresham, OR, holding Type 2 (organization) NPI 1649692450 since 2014. The authorized official on file is Sheida Kharrazi, Dentist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1649692450 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Willamette |
| Practice address | 1107 NE BURNSIDE RD, Gresham, OR, 97030 |
| Phone | 5039522167 |
| Enumeration date | 2014-01-13 |
| Last updated in NPPES | 2014-01-13 |
Authorized official
| Name | Sheida Kharrazi |
|---|---|
| Title | Dentist |
| Phone | 5033100923 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | 7585 | OR |
Copy-ready billing details
Provider: Willamette NPI: 1649692450 Taxonomy: 122300000X (Dentist) Address: 1107 NE BURNSIDE RD, Gresham, OR, 97030
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1487571949 | Whitney Warth | Individual | General Practice Dentistry | Gresham, OR |
| 1114087491 | Donald Wells | Individual | General Practice Dentistry | Gresham, OR |
| 1386875805 | Chad Fife | Individual | Dentist | Gresham, OR |
| 1841632890 | Karen Waters | Individual | Dental Hygienist | Gresham, OR |
| 1134551229 | Kayla Soto | Individual | Dental Hygienist | Gresham, OR |
| 1962820019 | Veronica Mendez Hernandez | Individual | Dental Hygienist | Gresham, OR |
| 1427401322 | Daryl Khaw | Individual | Dentist | Gresham, OR |
Verify this record
Cross-check NPI 1649692450 against the authoritative CMS record: view Willamette on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Willamette?
Who is the authorized official for Willamette?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-01-13.