Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mountainside Oral Surgery LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1275441453

Mountainside Oral Surgery LLC is an Oral and Maxillofacial Surgery (Dentist) in Portland, Oregon. Works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026
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

4401 SW Vermont St
Portland, OR 97219-1020
Phone: (503) 297-4102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2690 May St Ste 102, Hood River, OR 97031-9786 — (503) 297-4102

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1275441453
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin James — Owner · (541) 666-6091
NPI enumeratedAugust 31, 2026
Last updated in NPPESAugust 31, 2026
Certification dateAugust 30, 2026
Mailing address1609 Se Barberry Ave, Dallas, OR 97338-1974

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