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

Summit Oregon LLC

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1205664844

Summit Oregon LLC is an Oral & Maxillofacial Surgery (D.M.D.) in Portland, Oregon. Registered with an NPI since 2024.

In the registry since
2024
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

3332 N Lombard St Ste C
Portland, OR 97217-1258
Phone: (503) 548-2006
Fax: (503) 548-2012
Show map & directions

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

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X

Record details

NPI number1205664844
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prashant Charugundla — Oral & Maxillofacial Surgeon · (503) 548-2006
Other names Summit Oral Surgery; Summit Oral Surgery
NPI enumeratedJuly 24, 2024
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address3332 N Lombard St Ste C, Portland, OR 97217-1258

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