PROVIDENCE HEALTH & SERVICES - OREGON

Oral & Maxillofacial Surgery

Active Organization
NPI: 1407109937

Practice Address

4805 NE GLISAN ST
SUITE 6N50
Portland, OR 97213

Phone: (503) 215-3053

Specialties

Specialty Code Primary License
Clinic/Center 261Q00000X No -
Oral & Maxillofacial Surgery 204E00000X Yes -

Frequently Asked Questions

NPI 1407109937 is the National Provider Identifier for PROVIDENCE HEALTH & SERVICES - OREGON, a Oral & Maxillofacial Surgery provider located in Portland, OR. This NPI was enumerated on October 22, 2012.

Quick Facts

NPI
1407109937
Type
Organization
Enumerated
Oct 22, 2012
Last Updated
Jul 4, 2025

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