National Provider Identifier Database

PORTLAND ORAL AND FACIAL SURGERY
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

PORTLAND ORAL AND FACIAL SURGERY
5050 NE HOYT ST STE 322
PORTLAND, OR97213-2982
Phone: 503-230-0322
Fax: 503-230-0344
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for PORTLAND ORAL AND FACIAL SURGERY

NPI Number 1659238038
Legal business name
LBN
PORTLAND ORAL AND FACIAL SURGERY
Authorized official SHANNON GRESH - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/07/2026
Last updated 01/07/2026 - About 5 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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