Three Rivers Oral and Facial Surgery LLC
NPI 1164265633 · Oral & Maxillofacial Surgery (D.M.D.) · Tualatin, OR
Three Rivers Oral and Facial Surgery LLC is a Oral & Maxillofacial Surgery (D.M.D.) organization in Tualatin, OR (NPI 1164265633).
Provider details
- NPI number
- 1164265633
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Petrisor, Surgeon(503) 692-5654
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-06-13
- Last updated
- 2024-06-13
- Certified
- 2024-06-13
Frequently asked questions
- What is Three Rivers Oral and Facial Surgery LLC's NPI number?
- Three Rivers Oral and Facial Surgery LLC's National Provider Identifier (NPI) is 1164265633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Three Rivers Oral and Facial Surgery LLC?
- Three Rivers Oral and Facial Surgery LLC is classified in the NPPES registry as Oral & Maxillofacial Surgery (D.M.D.) (Allopathic & Osteopathic Physicians).
- Where is Three Rivers Oral and Facial Surgery LLC located?
- Three Rivers Oral and Facial Surgery LLC's practice location on file with NPPES is 6464 Sw Borland Rd Ste D3, Tualatin, OR 97062-8861.
- What is Three Rivers Oral and Facial Surgery LLC's phone number?
- The practice phone number listed in the NPPES registry for Three Rivers Oral and Facial Surgery LLC is (503) 692-5654.
- Who is the authorized official for Three Rivers Oral and Facial Surgery LLC?
- The authorized official listed on Three Rivers Oral and Facial Surgery LLC's NPPES record is Daniel Petrisor, Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Three Rivers Oral and Facial Surgery LLC's NPI active?
- Yes — Three Rivers Oral and Facial Surgery LLC's NPI (1164265633) is active in the NPPES registry as of the last update on 2024-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.