NPI 1164265633

Three Rivers Oral and Facial Surgery LLC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Tualatin, OR

Practice location

Address: 6464 SW Borland Rd STE D3, Tualatin, OR 97062-8861
Phone: (503) 692-5654

Authorised official

Name: Daniel Petrisor
Title: Surgeon
Phone: (503) 692-5654

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Oregon →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X

Other Dentist providers in Oregon →

Registry record

NPI: 1164265633
Entity type: Organization
NPI issued: 13 Jun 2024
Record last updated: 13 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.