Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NORTHWEST ORAL & MAXILLOFACIAL SURGEONS, LLC
Active OrganizationNORTHWEST ORAL & MAXILLOFACIAL SURGEONS, LLC is a Orthodontics & Dentofacial Orthopedics organization located in GRESHAM, Oregon. NPI 1629286273 is currently active in the NPPES registry. Verify at CMS.
Orthodontics & Dentofacial Orthopedics · GRESHAM, OR
Registration Details
- NPI Number
- 1629286273
- Provider Type
- Organization
- NPI Issued
- May 18, 2007 (19.274720815701 yrs)
- Last Updated
- Aug 22, 2020
- License
-
D4283 (OR)
Practice Information
- Address
-
24850 SE STARK STSUITE 100GRESHAM, OR, 970308316Browse OR providers · Browse ZIP 97030
- Phone
- 5036657882
- Fax
- 5036656983
- Primary Specialty
-
Orthodontics & Dentofacial Orthopedics
1223P0106X
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.