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

Northwest Oral and Maxillofacial Surgeons

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1417385857

Northwest Oral and Maxillofacial Surgeons is an Oral and Maxillofacial Surgery (Dentist) in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2013.

Licensed in
OR
In the registry since
2013

Practice location Address checks out

24850 SE Stark St Ste 100
Gresham, OR 97030-8317
Phone: (503) 665-7882
Fax: (503) 665-6983
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 D8342 (OR)

Record details

NPI number1417385857
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Lieblick — Owner · (503) 665-7882
Other names Beacon Oral And Maxillofacial Surgeons
NPI enumeratedOctober 22, 2013
Last updated in NPPESOctober 22, 2013
Mailing address24850 Se Stark St Ste 100, Gresham, OR 97030-8317

Other providers in Gresham