NORTHWEST ORAL & MAXILLOFACIAL SURGEONS, LLC


Address: 24850 Se Stark St, Suite 100, Gresham, OR 97030-8316
Phone: 5036657882

NORTHWEST ORAL & MAXILLOFACIAL SURGEONS, LLC (NPI# 1629286273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629286273
Entity Type Organization
Organization Name NORTHWEST ORAL & MAXILLOFACIAL SURGEONS, LLC
Practice Address 24850 Se Stark St
Suite 100
Gresham
OR 97030-8316
Practice Telephone 5036657882
Practice Fax Number 5036656983
Mailing Telephone 5036657882
Mailing Fax Number 5036656983
Enumeration Date 2007-05-18
Last Update Date 2020-08-22
Authorized Official Name DR. HENRY C. WINDELL (PARTNER)
Authorized Official Telephone 5036657882
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0106X Dentist
Specialization: Oral and Maxillofacial Pathology
D4283 OR Dental Providers

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names NORTHWEST ORAL & MAXILLOFACIAL SURGEONS, LLC 24850 Se Stark St Ste 100, Gresham, OR 97030
Washington State Corporations NORTHWEST ORAL & MAXILLOFACIAL SURGEONS, LLC 5420 Nw 38th Ave Ste 103, Camas, WA 98607-5405

Office Location

Street Address 24850 SE STARK ST
SUITE 100
City GRESHAM
State OR
Zip Code 97030-8316

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164426110 Julia W Mason Pediatrics 24850 Se Stark St, Suite 150, Gresham, OR 97030-8316 2005-06-08
1124575139 Gretchen Ann Grooms Massage Therapist 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 2016-09-07
1770787681 Renee Nicole Goodreau Obstetrics & Gynecology 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 2007-06-13
1164547634 Jennifer Marie Boom Massage Therapist 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 2007-03-21
1063558807 June Ellen Hobbs Advanced Practice Midwife 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 2007-01-29
1801968086 Mt Hood Women's Health PC Clinic/Center 24850 Se Stark St, Suite 200, Gresham, OR 97030 2006-11-14
1427066554 Kelly Annette Carter Obstetrics & Gynecology 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 2006-08-04
1982612024 Michelle Cecile Champagne Obstetrics & Gynecology 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 2006-08-04
1841208972 Sandra Ann Collis Obstetrics & Gynecology 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 2006-08-04
1821006958 Anne Meredith Knudsen Obstetrics & Gynecology 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 2006-08-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174032312 Tiffany Chen Occupational Therapist 304 Ne Hood Ave., Gresham, OR 97030 2017-09-20
1225568454 Goldstar Vascular Access, Inc Home Infusion 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 2017-06-20
1861940454 Jessica Morrow Massage Therapist 1748 Nw Fairview Dr., Gresham, OR 97030 2016-09-13
1033665898 Bonita Baxter Counselor 400 Ne 7th Street, Gresham, OR 97030 2016-08-31
1710335484 Ethan William Hoccom Counselor 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 2016-06-02
1992159610 Kathleen Kline, Lmt Massage Therapist 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 2016-04-19
1215390109 The Wallace Medical Concern Nurse Practitioner 254 Nw Burnside Road, Gresham, OR 97030 2016-03-30
1932568912 Atchison Dialysis, LLC Clinic/Center 878 Nw Burnside Rd, Gresham, OR 97030 2016-02-18
1912374034 Hilary Dawn Montgomery Counselor 1326 Nw Civic Dr # 5569, Gresham, OR 97030 2015-08-24
1992171730 Melissa E Childs Massage Therapist 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 2015-08-17
Find all providers in zip 97030

Taxonomy Information

Taxonomy Code 1223P0106X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Pathology

Taxonomy Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063413722 Henry Cooke Windell Dentist 24850 Se Stark St, Gresham, OR 97030-8316 2005-08-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093746174 Southern Oregon Oral and Maxillofacial Surgeons Dentist 3162 State St, Medford, OR 97504-8450 2006-07-06
1669435806 Bryan R. Harvey Dentist 331 Warner Milne Rd, Oregon City, OR 97045-4045 2006-04-10
1508827478 Wei-yuhg Yih Dentist 611 Sw Campus Dr, Sd-515, Portland, OR 97239-3001 2006-03-30
1790229888 Northwest Oral Pathology Dentist 12254 Sw Garden Pl, Tigard, OR 97223-8246 2016-12-08
1720044126 Keith Edward Krueger Dentist 1475 Sw Chandler Ave, Suite 101, Bend, OR 97702-3238 2006-04-25

Competitor

Search similar providers

City GRESHAM
Zip Code 97030

Improve Information

Please comment or provide details below to improve the information on NORTHWEST ORAL & MAXILLOFACIAL SURGEONS, LLC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches