NPI 1235332834

Daniel Petrisor, DMDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Portland, OR

Practice location

Address: 3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011
Phone: (503) 494-8916
Fax: (503) 494-6783

Registered specialties (2)

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence MD154906 (OR)

Other Oral & Maxillofacial Surgery providers in Oregon →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence D9059 (OR)

Other Dentist providers in Oregon →

Registry record

NPI: 1235332834
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jun 2007
Record last updated: 16 Jul 2025

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.