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CASCADE ORAL AND FACIAL SURGERY LLC NPI 1366157497


NPI Information

NPI: 1366157497
Provider Name: CASCADE ORAL AND FACIAL SURGERY, LLC

Doing Business As: CASCADE ORAL AND FACIAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
16455 BOONES FERRY RD STE B
LAKE OSWEGO, OR
ZIP 97035
Phone: (503) 482-7200
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CASCADE ORAL AND FACIAL SURGERY, LLC is an oral and maxillofacial surgery dentist in Lake Oswego, OR. The provider is an oral and maxillofacial surgery dentist specialized in 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. CASCADE ORAL AND FACIAL SURGERY, LLC NPI is 1366157497. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cascade Oral And Facial Surgery.

The provider's business location address is:

16455 BOONES FERRY RD STE B
LAKE OSWEGO, OR
ZIP 97035-367
Phone: (503) 482-7200

The provider's authorized official is Phil Mann .
The authorized official title is Officer and has the following contact phone number (503) 482-7200.

The enumeration date for this NPI number is 1/23/2023 and was last updated on 2/29/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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