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Contact Information

SUMMIT OREGON LLC
3332 N LOMBARD ST STE C
PORTLAND, OR97217-1258
 Phone: 503-548-2006
 Fax: 503-548-2012
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SUMMIT OREGON LLC · (Female)

NPI Number 1205664844
Status Active
Credentials
Entity Individual
Enumeration date 07/24/2024
Last updated 04/06/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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