Providence Health & Services - Oregon
Providence Health & Services - Oregon is an Oral & Maxillofacial Surgery (D.M.D.) in Portland, Oregon. Registered with an NPI since 2012.
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
4805 NE Glisan St Ste 11NPortland, OR 97213-2933
Phone: (503) 215-3053
Fax: (503) 215-3037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral & Maxillofacial Surgery (D.M.D.) (primary) | Taxonomy 204E00000X |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X |
Record details
| NPI number | 1407109937 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786 |
| Other names | Providence Medical Group; Providence Oral Head And Neck Clinic |
| NPI enumerated | October 22, 2012 |
| Last updated in NPPES | March 23, 2026 |
| Certification date | March 23, 2026 |
| Mailing address | Po Box 31001 - 4180, Pasadena, CA 91110-4180 |
Other providers in Portland
-
Robert W.t. Myall, MD
3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011 · (503) 494-8914
-
Dr. Ashish A Patel, MD, DDS, FACS
1849 NW Kearney St Ste 300, Portland, OR 97209 · (503) 224-1371
-
Daniel Petrisor, DMD, MD
3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011 · (503) 494-8916
-
Dr. Bryce Earl Potter, MD, DMD
1849 NW Kearney St Ste 300, Portland, OR 97209-1453 · (503) 224-1371
-
Felix Wiyanto Sim, MBBS, BDS
1015 NW 22nd Ave, Portland, OR 97210-3025 · (503) 413-4656
-
Summit Oregon LLC
3332 N Lombard St Ste C, Portland, OR 97217-1258 · (503) 548-2006