Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Humble Richmond & Russell Oral & Maxillofacial Surgery, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1902100316

Humble Richmond & Russell Oral & Maxillofacial Surgery, LLC is an Oral and Maxillofacial Surgery (Dentist) in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2010.

Licensed in
OR
In the registry since
2010
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1201 SE 223rd Ave Ste 180
Gresham, OR 97030-2574
Phone: (503) 667-1431
Fax: (503) 492-0880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence D6660 (OR)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence D7053 (OR)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence D9295 (OR)

Record details

NPI number1902100316
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise Olson — Bookkeeper · (503) 667-1431
NPI enumeratedDecember 28, 2010
Last updated in NPPESDecember 28, 2010
Mailing address1201 Se 223rd Ave, Suite 180, Gresham, OR 97030-2574

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