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

Northwest Oral & Maxillofacial Surgeons, LLC

Organization Oral and Maxillofacial Pathology Dentistry · NPI 1629286273

Northwest Oral & Maxillofacial Surgeons, LLC is an Oral and Maxillofacial Pathology Dentistry in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
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

24850 SE Stark St Ste 100
Gresham, OR 97030-8316
Phone: (503) 665-7882
Fax: (503) 665-6983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Pathology Dentistry (primary) Taxonomy 1223P0106X · Licence D4283 (OR)

Record details

NPI number1629286273
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Henry Windell — Partner · (503) 665-7882
NPI enumeratedMay 18, 2007
Last updated in NPPESAugust 22, 2020
Mailing address24850 Se Stark St, Suite 100, Gresham, OR 97030-8316

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