Organization · Type 2 NPI

Summit Oregon LLC

Oral & Maxillofacial Surgery (D.M.D.) · Portland, OR

NPI number 1205664844 Active

Practice location

3332 N Lombard St Ste C
Portland, OR 97217-1258

Fax (503) 548-2012

Specialties and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) Primary 204E00000XNone listed

Oral & Maxillofacial Surgery (D.M.D.): Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the j…

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About NPI 1205664844

Summit Oregon LLC's National Provider Identifier is 1205664844, issued on Jul 24, 2024. The primary taxonomy on file is Oral & Maxillofacial Surgery (D.M.D.) (204E00000X), and the practice location is in Portland, OR. The record was last updated on Apr 6, 2026.