Three Rivers Oral And Facial Surgery Llc

LBN: Three Rivers Oral And Facial Surgery Llc
Three Rivers Oral And Facial Surgery Llc is an health care organization with primary practice located at 6464 Sw Borland Rd Ste D3 , Tualatin OR 97062-8861. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is the primary health care specialty. Three Rivers Oral And Facial Surgery Llc can be contacted via phone (503) 692-5654, or through Petrisor, Daniel via phone (503) 692-5654.

Contact Information

Primary practice address
6464 Sw Borland Rd Ste D3 Tualatin OR 97062-8861
Phone: (503) 692-5654
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Petrisor, Daniel DMD, MD, FACS
Phone: (503) 692-5654

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X

Profile Details

NPI number 1164265633
LBN Legal business name Three Rivers Oral And Facial Surgery Llc
DBA Doing business as
Authorized official Petrisor, Daniel DMD, MD, FACS
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2024
Last updated Jun 13th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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