Dental Provider Directory - Kaiser Permanente
DENTAL PROVIDER
DIRECTORY
PUBLISHED
J
uly
2024
THIS DIRECTORY APPLIES TO THE FOLLOWING NETWORKS: CLASSIC, CLASSIC COMPLETE,
CLASSIC + DENTAL CHOICE, ADDED CHOICE + DENTAL CHOICE, DENTAL, DENTAL CHOICE
KAISER PERMANENTE NORTHWEST REGION
Listed providers are affiliated with Permanente Dental Associates. The
information in this directory is updated monthly. For the most up-todate information, please visit or contact Member Services at
1-800-813-2000. The availability of physicians, hospitals, providers, and
services may change. Information about practitioners is provided to us
by the practitioners or is obtained as part of the credentialing process
and is accurate as of the date on the directory.
If you have questions, please call Member Services from 8 a.m. to
6 p.m., Monday through Friday, at 1-800-813-2000. For TTY, call 711.
For language interpretation services, call 1-800-324-8010.
Help in your language
Interpreter services, including American Sign Language (ASL), are
available during business hours at no additional cost to members.
Many of our doctors also speak more than one language. Call 1-800324-8010 (toll free), or 1-800-813-2000 (toll free) or 711 (TTY).
You can also call the Oregon Board of Dentistry at 971-673-3200 or
the Washington State Department of Health at 360-236-4700 for more
information, including malpractice history and disciplinary actions.
19416_07-24
Dental Choice PPO members
If you are on a Dental Choice PPO plan, some of the information in this
directory may not apply to you. Dental choice PPO plans have some
requirements and restrictions that are different from our other dental
plans. Please read your Evidence of Coverage to fully understand how
your plan works. This directory does not include all of the providers for
your plan. For a complete listing visit dental/nw to search our
online directory or call 1-866-498-7912.
The information contained in this directory is accurate as of the
July, 2024 publication date. For the most up to date provider
directory information, please contact Member Services at
1-800-813-2000 or visit facilities.
If you are looking for a gender affirming treatment provider
and can¡¯t find a provider close to you, please call our Member
Services department at 1-800-813-2000 for help finding an innetwork provider.
All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest.
500 NE Multnomah St., Suite 100, Portland, OR 97232.
Accessibility of dental offices in this directory
All Kaiser Permanente facilities are accessible
to members.
To report provider directory inaccuracies,
please call Member Services at 1-800-813-2000
or go to webmanager.
Community Referrals
Affiliated community dentists are not part of
Permanente Dental Associates (PDA). They
are dentists credentialed by PDA for Kaiser
Foundation Health Plan of the Northwest, and
they have a contract with PDA. If your PDA dentist
decides that you require covered services not
available internally from a PDA dentist, he or she
may refer you to an affiliated community dentist.
You must have a written, authorized referral from
PDA in order to receive a covered service from an
affiliated community dentist.
For members enrolled through the Federal
Employees Health Benefits (FEHB) program
It is important to know that when you enroll
in this Plan, services are provided through
the Plan¡¯s delivery system as described in the
Plan¡¯s Evidence of Coverage, but the continued
participation of any one doctor, hospital, or
other provider cannot be guaranteed.
Abbreviations of dental professional titles
DDS
Doctor of Dental Surgery
DMD
Doctor of Medical Dentistry
We have dental professionals practicing in the following specialties:
Denturist
A dental technician who specializes in making and fitting dentures.
Endodontist
A dentist who specializes in root canals and the treatment of diseases or injuries
that affect the pulp of teeth.
Orthodontist
A dentist who specializes in preventing and treating misaligned teeth.
Pediatric dentist
A dentist who specializes in treating children from birth through adolescence.
Periodontist
A specialist who treats the gums and supporting structures of the teeth.
Prosthodontist
A dentist who specializes in restoring teeth and/or replacing missing teeth with
bridges, dentures, crowns, or implants.
All providers listed in this directory speak English.
19416_07-24
Dental Providers, Kaiser Permanente, Northwest Region.
Providers accepting new members indicated in the Accepting New Members column.
Last updated July 2024. For the most up-to-date information, visit .
For questions or more information, you may contact Member Services via .
ii
1-800-813-2000
Gender
Accepting
New
Members
Specialty
Board Certification
James E Rapson, DDS, MS
M
Y
TMD
American Board of
Orofacial Pain (ABOP)
N
Yvonne Yang, DDS
F
Y
TMD
American Board of
Orofacial Pain (ABOP)
N
Gender
Accepting
New
Members
Specialty
Board Certification
Charles G Row, DDS
M
Y
General Dentist
N
David K Walker, DMD
M
Y
General Dentist
N
Lindsey Gaulke Popov, DMD
F
Y
General Dentist
N
Patrick Heaphy, DMD
M
Y
Endodontist
N
Gender
Accepting
New
Members
Specialty
Deepak Devarajan, DMD
M
Y
General Dentist
N
Justin Elson, DMD
M
Y
General Dentist
N
McGarrett Sutherland, DMD
M
Y
General Dentist
N
Min-U Tan,
M
Y
Denturist
N
Thien-Y Hoang, DMD
F
Y
General Dentist
N
Wendy L Kincaid Smovir, DMD
F
Y
General Dentist
N
Provider Name
Credential
Hospital Affiliations
Referral Languages other
Required
than English
Aloha Dental Office
17675 SW Tualatin Valley Highway
Beaverton, OR. 97003
1-800-813-2000
Provider Name
Credential
Hospital Affiliations
Referral Languages other
Required
than English
Beaverton Dental Office
4855 SW Western Avenue
Beaverton, OR. 97005
1-800-813-2000
Provider Name
Credential
Board Certification
Page 1
Hospital Affiliations
Referral Languages other
Required
than English
Vietnamese
19416_07-24
Cascade Park Dental Office
12711 SE Mill Plain Blvd
Vancouver, WA. 98684
1-800-813-2000
Gender
Accepting
New
Members
Specialty
Aaron S Johnson, DMD
M
Y
General Dentist
N
David A Straube, DMD
M
Y
General Dentist
N
Elizabeth Takamori, DDS
F
Y
Endodontist
Elly Kim, DDS
F
Y
General Dentist
N
Emily Passino, DMD
F
Y
General Dentist
N
Jason Ahn, DDS
M
Y
General Dentist
N
Jennifer Egli, DDS, MS
F
Y
Orthodontist
N
Linh T Vo-Cheng, DMD
F
Y
Pediatric Dentist
Nikolas E Rawley, DMD
M
Y
General Dentist
N
Richard Omans, DDS
M
Y
General Dentist
N
Gender
Accepting
New
Members
Specialty
Daniel J Pihlstrom, DDS
M
Y
General Dentist
N
Eric Christensen, DMD
M
Y
General Dentist
N
Paula Censoni-Needham, DMD
F
Y
General Dentist
N
Piper Huber, DDS
F
Y
Pediatric Dentist
Ryan LeClaire, DDS
M
Y
General Dentist
N
Yun Kyung-Lee, DMD
F
Y
General Dentist
N
Provider Name
Credential
Board Certification
Hospital Affiliations
American Board of
Endodontics (ABoE)
American Board of
Pediatric Dentistry (ABoPD)
Referral Languages other
Required
than English
N
Kaiser Interstate ASC
Korean
N
Cedar Hills Dental Office
12450 SW Walker Rd
Beaverton, OR. 97005
1-800-813-2000
Provider Name
Credential
Board Certification
American Board of
Pediatric Dentistry (ABoPD)
Page 2
Hospital Affiliations
Kaiser Interstate ASC
Referral Languages other
Required
than English
N
Spanish
19416_07-24
Clackamas Dental Office
10209 SE Sunnyside Road
Clackamas, OR. 97015
1-800-813-2000
Gender
Accepting
New
Members
Specialty
Anh Le, DMD
F
Y
General Dentist
N
Dean Gretzinger, DDS
M
Y
General Dentist
N
Desy Wilson, DDS, MS
F
Y
Orthodontist
Jean Marie Pacewic, DMD
F
Y
General Dentist
N
Joseph Jamus, DMD
M
Y
General Dentist
N
Karli Inglis, DDS
F
Y
Pediatric Dentist
Mailiki L Patterson, DDS
F
Y
General Dentist
N
Misty H Fujii-Carr, DDS
F
Y
General Dentist
N
Susan Schaumburg Restic
(Schaumburg), DMD
F
Y
General Dentist
N
Yoshiyuki Charlie Muraki, DMD
M
Y
General Dentist
N
Gender
Accepting
New
Members
Specialty
Jila Bowman, DDS
F
Y
Periodontist
N
Jonathan Browning, DDS
M
Y
General Dentist
N
Keith Herkert, DMD
M
Y
General Dentist
Marcus J van Witzenburg, DMD
M
Y
General Dentist
Provider Name
Credential
Board Certification
Hospital Affiliations
American Board of
Orthodontics (ABoO)
Referral Languages other
Required
than English
N
Kaiser Interstate ASC
N
Eastmoreland Dental Office
5025 SE 28th Ave
Portland, OR. 97202
1-800-813-2000
Provider Name
Credential
Board Certification
Hospital Affiliations
Kaiser Interstate ASC
Referral Languages other
Required
than English
Farsi
N
N
Page 3
19416_07-24
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