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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DANIEL PETRISOR, DMD, MD

Active

DANIEL PETRISOR, DMD, MD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in PORTLAND, Oregon. NPI 1235332834 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · PORTLAND, OR

Registration Details

NPI Number
1235332834
Provider Type
Individual
Gender
Male
NPI Issued
Jun 9, 2007 (19.139651115198 yrs)
Last Updated
Jul 16, 2025
Licenses
MD154906 (OR)
D9059 (OR)

Practice Information

Address
3181 SW SAM JACKSON PARK RD
PORTLAND, OR, 972393011
Browse OR providers · Browse ZIP 97239
Phone
5034948916
Fax
5034946783
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery (Physician) Providers in PORTLAND, OR

Name Credential NPI
DR. BRYCE EARL POTTER MD, DMD 1346249281
RICHARD BRYAN BELL MD, DDS 1992704878
ERIC J DIERKS MD, DMD 1265432025
MARK E ENGELSTAD MD, DDS 1437102746
LEON ALLEN ASSAEL DMD 1033124532
ROBERT W.T. MYALL MD 1720093230
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.