Doctor profile · Federal record
Dr. Russell Teasdale, DMD
General Practice Dentistry · Portland, OR
- NPI 1083614689
- 21 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1316 Sw 13Th Avenue
Portland, OR 97201
(503) 235-0555
fax (503) 224-5726 - Mailing address
-
1316 Sw 13Th Ave
Portland, OR 972013355
Credentials & registration
- NPI registered
- July 2005 — 21 yrs on file
- Profile last updated
- June 13, 2023
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Oregon #5751
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083614689. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$53
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Shofu Dental Corp | 1 | $52.96 |
By nature of payment
Frequently asked questions
What is Dr. Russell Teasdale's medical specialty?
Dr. Russell Teasdale practices General Practice Dentistry in Portland, OR.
Where does Dr. Russell Teasdale practice?
Dr. Russell Teasdale practices at 1316 Sw 13Th Avenue, Portland, OR 97201. Office phone: 5032350555.
What is Dr. Russell Teasdale's NPI?
Dr. Russell Teasdale's National Provider Identifier (NPI) is 1083614689, issued by NPPES.