HUMBLE RICHMOND & RUSSELL ORAL & MAXILLOFACIAL SURGERY, LLC
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1902100316- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1201 SE 223RD AVE SUITE 180, GRESHAM, OR, 970302574
- Phone
- (503) 667-1431
- Fax
- (503) 492-0880
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: OR #D7053
Dentist, Oral and Maxillofacial Surgery
License: OR #D9295
Dentist, Oral and Maxillofacial Surgery
Primary License: OR #D6660