Tammy + David Duncan are dental consultants based 25 minutes from downtown Portland in Oregon City. Three or four days a week one of them is in the operatory of a Portland-metro dental practice — listening to phone calls, sitting in on case presentations, watching the morning huddle. That's how we work. On-site, in person, in your office.
Most dental consulting in 2026 happens over Zoom. We do more than half of ours in your operatory because language and culture changes don't stick from a slide deck.
A Portland practice 25 miles from our office is in our regular driving rotation. Tammy is in the operatory the same day, on the same morning the team is dealing with whatever's actually broken — not the polished version of the problem the doctor describes on a Tuesday-night call.
Our regular Portland-metro client base spans:
On-site engagements are billed at fixed project fees with travel built in. No per-mile bookkeeping.
45 minutes with Tammy. She'll walk through one of your typical weeks and show you what would lift production first. No commitment.
Three patterns drive 80% of our Portland-metro engagements:
We are based in Oregon City, about 25 minutes south of downtown Portland. Three or four days a week one of us is in the operatory of a Portland-metro practice. The on-site work is what we're known for.
Yes. Our regular driving radius covers Portland metro, Salem, Eugene, Vancouver and Camas WA, and occasional projects in Bend and Medford. For practices farther away, we deliver coaching over Zoom with quarterly on-site visits.
National firms send you a binder and assign a phone-based coach who's never set foot in your office. We're in your operatory on Wednesday morning, listening to the actual phone calls and adjusting in real time. The change sticks because we're standing next to the team while it happens.
Solo associate practices and start-ups can engage us for a single workshop or short-cycle coaching. Our coaching sweet spot is established solo and two-doctor practices doing $1.2M–$4M a year. Smaller practices get more value from a workshop than from a year-long coaching engagement.
Most Portland-metro engagements begin within two to four weeks of the free assessment call. We are not a national firm with a months-long waiting list.
Engagements are project-based with clear scopes. We do not lock anyone into multi-year contracts. Clients renew because the work continues to pay for itself, not because they signed a 36-month commitment.
We're biased, but the honest answer: a Portland dental practice consultant should know the Portland metro market — local PPO mix, hygienist talent pool, downtown vs west-side practice patterns. A dental consultant in Portland with deep regional roots will navigate Beaverton commercial leases differently than one out of state. Our dental consultant Beaverton work, Lake Oswego practices, and east-side downtown all benefit from a coach who's been on those streets for 38 years.
A real Portland Oregon dental consultant is in Portland practices weekly. We're 25 minutes south in Oregon City and drive Portland metro three to four days a week. Dental coaching Portland Oregon should mean physical presence at your operatory — not generic phone coaching.
Ask other dentists for an on-site dental consultant Portland practices actually use. The best dental consultant Portland recommendations come from peer practices — Reddit and Google ads are a coin flip. The dental practice consultant Portland metro market has a handful of long-time players; ask around at a study club or peer-group meeting.
Free assessment call with Tammy. No commitment. You'll leave with at least one specific thing to change Monday morning.
Free Assessment