THREE RIVERS ORAL AND FACIAL SURGERY LLC – NPI #1164265633
Oral & Maxillofacial Surgery

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Health Care Provider Taxonomy Code for Oral & Maxillofacial Surgery

THREE RIVERS ORAL AND FACIAL SURGERY LLC is an oral & maxillofacial surgeon located in TUALATIN, OR. NPPES has assigned the NPI number 1164265633 to THREE RIVERS ORAL AND FACIAL SURGERY LLC on June 13, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THREE RIVERS ORAL AND FACIAL SURGERY LLC below.

NPI Profile for
THREE RIVERS ORAL AND FACIAL SURGERY LLC

NPI Number
1164265633
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THREE RIVERS ORAL AND FACIAL SURGERY LLC
Primary location
6464 SW BORLAND RD STE D3
TUALATIN, OR 97062-8861
Phone: (503) 692-5654 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DANIEL PETRISOR
SURGEON
Phone: (503) 692-5654
Updated
Certification Date
Jun 13, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204E00000X
- Oral & Maxillofacial Surgery (Primary)
1223S0112X
- Dentist / Oral and Maxillofacial Surgery

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.