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

PROVIDENCE HEALTH & SERVICES - OREGON

Active Organization

PROVIDENCE HEALTH & SERVICES - OREGON is a Oral & Maxillofacial Surgery (Physician) organization located in PORTLAND, Oregon. NPI 1407109937 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · PORTLAND, OR

Registration Details

NPI Number
1407109937
Provider Type
Organization
NPI Issued
Oct 22, 2012 (13.822240524095 yrs)
Last Updated
Jul 4, 2025

Practice Information

Address
4805 NE GLISAN ST
SUITE 6N50
PORTLAND, OR, 972132933
Browse OR providers · Browse ZIP 97213
Phone
5032153053
Fax
5032153037
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X

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

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.