Columbia Park Oral Surgery PC
Columbia Park Oral Surgery PC is an Oral and Maxillofacial Surgery (Dentist) in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.
- Licensed in
- OR
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3549 N LombardPortland, OR 97217-5901
Phone: (503) 289-9621
Fax: (503) 289-2930
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence D6081 (OR) |
|---|
Record details
| NPI number | 1639103658 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jan Kooning — President · (503) 289-9621 |
| NPI enumerated | July 10, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 3549 N Lombard, Portland, OR 97217-5901 |
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Dr. Stephen Patrick Clemens, DMD
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Mark E Engelstad, MD, DDS
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Kim K Erickson, DMD, MD
511 10th Ave Ste 808, Portland, OR 97205-4661 · (503) 289-9621
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Dr. Curtis Edward Gregoire, DDS, MD
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