ADA Accessibility Information
Accessibility
A
A

A

West End Dental Payment Form

Please fill out the form below. Required fields are marked with asterisks (*).

 

Contact Information

Patient's First Name: *

Patient's Last Name: *

Home Phone:

Other Phone:

Email Address: *

 

Payment and Credit Card Information

Please enter your payment amount and credit card information below.

Name on Card: *

Card Type *

Visa Mastercard American Express Discover  

Payment Amount ($): *

Credit Card Number: *

Expiration Month: *

Expiration Year: *

CVV Number (on back of card): *

 

Billing Address Information

Address: *

City: *

State: *

ZIP: *

 

Thank you for paying your bill online. You will receive a confirmation email and a receipt for your payment.

 
 
 

You must agree to the payment on the next page to complete your transaction. It may take a minute, thank you for your patience.
WE TREAT OUR PATIENTS WITH RESPECT
We believe in educating patients about their treatment options and listening to their questions and concerns.
WE BELIEVE IN HEALTHY TEETH FIRST
We focus on prevention so that you keep your smile healthy. We provide excellent comfortable care for all procedures.
WE'RE HERE FOR YOU!
Schedule your visit today for cleaning, treatment, or consultation.
Request your appointment

Click here to read our reviews on Facebook Click here to read our reviews on Google Click here to read our reviews on Health Grades Click here to view our photos on Instagram
Request your appointment
Schedule an Appointment
Office: (503) 446-2957
Fax: (503) 222-0029

Our doctors
Dr. James Krippaehne

Our address
West End Dental
833 SW 11th Ave Suite 300
Portland, OR 97205

Where to park
Parking
Smart park 10th Ave.
MAP

Street car stop info
Street Car Line Accessible
Get off at SW 11th & Taylor
Stop ID 9633
MAP

Pay online at West End Dental
Patient Payment Portal

Make a Payment
Copyright © 2018-2023 West End Dental and WEO Media (Touchpoint Communications LLC). All rights reserved.  Sitemap
About West End Dental | Dentist in Downtown Portland, OR
West End Dental has served the Portland area for 50+ years. Our doctors and team provide excellent service, high-quality treatment, and a comfortable experience.
West End Dental, 833 SW 11th Ave, Suite 300 Portland, OR 97205 / (503) 446-2957 / west-end-dental.com / 3/31/2023 / Related Terms: dentist Downtown Portland /