Organization · Type 2 NPI
Mountainside Oral Surgery LLC
Oral and Maxillofacial Surgery (Dentist) · Portland, OR
NPI number
1275441453
Active
Practice location
4401 SW Vermont St
Portland, OR 97219-1020
Mailing address
1609 SE Barberry Ave
Dallas, OR 97338-1974
Other practice locations
- 2690 May St Ste 102, Hood River, OR 97031-9786 · (503) 297-4102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Portland
- Jay P Malmquist DMD PCOral and Maxillofacial Surgery (Dentist) Portland, OR NPI 1043159924
- Normund K. Auzins, DDSOral and Maxillofacial Surgery (Dentist) Portland, OR NPI 1215221361
- Skyline Oral Facial and Dental Implant SurgeryOral and Maxillofacial Surgery (Dentist) Portland, OR NPI 1376310359
- Columbia Park Oral Surgery PCOral and Maxillofacial Surgery (Dentist) Portland, OR NPI 1639103658
About NPI 1275441453
Mountainside Oral Surgery LLC's National Provider Identifier is 1275441453, issued on Aug 31, 2026. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Portland, OR. The record was last updated on Aug 31, 2026.