Fractional CFO for independent dental practices in Portland and across Oregon

Fractional CFO for independent dental practices in Portland and across Oregon

Fractional CFO for independent dental practices in Portland and across Oregon

Business advisory for dental practice owners from Portland to Eugene and everywhere in between.

I’m based in Salem. Onboarding happens in person, and most reviews after that happen by video.

Certified Management Accountant (CMA) · Member, Institute of Management Accountants (IMA)

Dental practices I help across Oregon

Independently owned general and specialty practices, from solo owners to multi-location groups. I don’t work with DSOs, only practices that are independently owned, including groups.

Portland metro.

Beaverton, Hillsboro, Lake Oswego, and Gresham. It’s the largest dental market in the state, and practices here can owe city, county, and regional business taxes on top of the state.

Portland metro.

Beaverton, Hillsboro, Lake Oswego, and Gresham. It’s the largest dental market in the state, and practices here can owe city, county, and regional business taxes on top of the state.

Salem and the mid-Valley.

Keizer, Albany, and Corvallis. As the state capital, Salem has a lot of patients on state employee dental plans, so payer mix and fee schedules carry real weight.

Salem and the mid-Valley.

Keizer, Albany, and Corvallis. As the state capital, Salem has a lot of patients on state employee dental plans, so payer mix and fee schedules carry real weight.

Eugene and Springfield.

Practices near campus can see schedules swing with the academic calendar, and that swing shows up in cash flow.

Eugene and Springfield.

Practices near campus can see schedules swing with the academic calendar, and that swing shows up in cash flow.

Bend and Central Oregon.

Growth here brings its own questions: hiring, adding chairs, or opening a second location.

Bend and Central Oregon.

Growth here brings its own questions: hiring, adding chairs, or opening a second location.

Southern Oregon.

Medford, Grants Pass, and Roseburg. An older patient base often means more Medicare Advantage dental plans and larger treatment cases, so collections and patient financing need a close eye.

Southern Oregon.

Medford, Grants Pass, and Roseburg. An older patient base often means more Medicare Advantage dental plans and larger treatment cases, so collections and patient financing need a close eye.

What’s different about running a dental practice in Oregon

Most dental money problems look the same everywhere. Oregon adds a few local wrinkles worth planning around.

A tax based on receipts, not profit.

Oregon’s Corporate Activity Tax kicks in once commercial activity passes $1 million, and it’s owed whether or not it was a good year. It belongs in the budget, not in April’s surprises.

Portland-area layers.

Practices inside Portland, Multnomah County, or the Metro boundary can owe local business taxes on top of the state. Adding a location across a city or county line can change that picture.

DSO calls keep coming.

Private equity and DSO groups are still reaching out to independent owners. Knowing what your numbers say before that conversation puts you in a stronger position.

Your CPA handles the filings and the tax details. My job is making sure these costs show up in your plan before a decision is final, whether that’s a new hire, a lease, or a partner buy-in.

Why work with a fractional CFO based in Oregon

I started chairside.

I was a certified dental assistant before I ever opened a spreadsheet, so I know what a no-show or a short-staffed day really costs a practice.

I started chairside.

I was a certified dental assistant before I ever opened a spreadsheet, so I know what a no-show or a short-staffed day really costs a practice.

I started chairside.

I was a certified dental assistant before I ever opened a spreadsheet, so I know what a no-show or a short-staffed day really costs a practice.

I’ve seen claims from the payer’s side.

Ten years in healthcare finance, including health insurance and workers’ compensation, taught me why claims get denied and where reimbursement quietly slips.

I’ve seen claims from the payer’s side.

Ten years in healthcare finance, including health insurance and workers’ compensation, taught me why claims get denied and where reimbursement quietly slips.

I’ve seen claims from the payer’s side.

Ten years in healthcare finance, including health insurance and workers’ compensation, taught me why claims get denied and where reimbursement quietly slips.

Onboarding happens in person.

We start face to face, then most reviews move to video so they fit around your schedule.

Onboarding happens in person.

We start face to face, then most reviews move to video so they fit around your schedule.

Onboarding happens in person.

We start face to face, then most reviews move to video so they fit around your schedule.

You work with me directly.

I keep a small client list on purpose, and nothing gets handed off to an associate.

You work with me directly.

I keep a small client list on purpose, and nothing gets handed off to an associate.

You work with me directly.

I keep a small client list on purpose, and nothing gets handed off to an associate.

How to start working with an Oregon fractional CFO

1

Schedule a conversation.

Tell me what’s happening in your practice.

2

Complete the Financial Pulse Assessment.

You get a secure upload link and a simple checklist, with findings in one to two weeks.

3

Walk through the findings.

We meet in person or by video, your choice. You keep the written summary and the recording.

4

Decide what’s next.

Ongoing advisory, a scoped project, or nothing at all. If you move forward, 25% of your assessment fee is credited toward the work.

Oregon fractional CFO FAQ

Do you work with practices outside Portland?

Do you meet in person?

Do you prepare Oregon or Portland tax returns?

How much does a fractional CFO cost in Oregon?

A DSO has approached me. Can you help?

I’m thinking about a second location. Can you help?

Talk to a fractional CFO who knows Oregon

The first step is a conversation. There’s no 40-page proposal and no pressure. Tell me what’s going on in your practice, and we’ll figure out whether the Financial Pulse Assessment is the right place to start.

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Keystone Advisors

Know your numbers. Own your direction.

© 2026 Keystone Advisors. All rights reserved.

Keystone Advisors

Know your numbers. Own your direction.

© 2026 Keystone Advisors. All rights reserved.

Keystone Advisors

Know your numbers. Own your direction.

© 2026 Keystone Advisors. All rights reserved.