Dr. Serena Autumn Waterworth is a Gresham, Oregon based Dentist who is specialized in
General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Serena Autumn Waterworth is
D12035 for General Practice Dentistry in Oregon. Her current practice location is
387 Ne 223rd Ave, Gresham. Patients can reach her at
503-491-5450.
Dr. Serena Autumn Waterworth is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Serena Autumn Waterworth speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Serena Autumn Waterworth |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 387 Ne 223rd Ave, Gresham,
Oregon, 97030-8554 |
| Phone: | 503-491-5450 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1043057334 |
| NPI Enumeration Date: | 12 Jul, 2024 |
| NPI Last Update On: | 12 Jul, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Serena Autumn Waterworth are as mentioned below.
| License Number | Specialization | State | Status | |
| D12035 | General Practice Dentistry | Oregon | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1268 Ne 186th Dr,
Portland, Oregon |
| Zip: | 97230-7127 |
| Phone Number: | 503-530-0609 |
Patients can reach Dr. Serena Autumn Waterworth at
387 Ne 223rd Ave, Gresham, Oregon or can
call to book an appointment on 503-491-5450.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.