NPI 1437102746

Mark E Engelstad, MDDDS

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

Practice location

Address: 3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011
Phone: (503) 494-8914
Fax: (503) 494-0294

Registered specialties (2)

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence MD153490 (OR)

Other Oral & Maxillofacial Surgery providers in Oregon →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence DF0023 (OR)

Other Dentist providers in Oregon →

Registry record

NPI: 1437102746
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 May 2006
Record last updated: 10 Oct 2017

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.