OrganizationActive
Three Rivers Oral and Facial Surgery LLC
NPI 1164265633 · Oral & Maxillofacial Surgery (D.M.D.) · Tualatin, OR
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
Established profile(56/100 index)
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
6464 Sw Borland Rd Ste D3
Tualatin, OR 97062-8861
Phone: (503) 692-5654
Street-level locationGet directions
Mailing address
6464 Sw Borland Rd Ste D3
Tualatin, OR 97062-8861
Registry dates
- Enumerated
- 2024-06-13
- Last updated
- 2024-06-13
- Certified
- 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.