NORTHWEST ORAL & MAXILLOFACIAL SURGEONS, LLC
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Pathology
Provider Information
- NPI Number
1629286273- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 24850 SE STARK ST SUITE 100, GRESHAM, OR, 970308316
- Phone
- (503) 665-7882
- Fax
- (503) 665-6983
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Pathology
Primary License: OR #D4283