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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1437102746

Mark E Engelstad, MD, DDS is a Maxillofacial Surgery in Portland, Oregon. Graduated from University of Louisville School of Medicine in 1997, 29 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
29
Trained at
University of Louisville School of Medicine
Licensed in
OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-8914
Fax: (503) 494-0294
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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 · Licence MD153490 (OR)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence DF0023 (OR)

Record details

NPI number1437102746
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , DDS
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESOctober 10, 2017
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesORAL SURGERY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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