IndividualActive

Daniel Petrisor, DMD, MD

NPI 1235332834 · Oral & Maxillofacial Surgery (D.M.D.) · Portland, OR

Provider details

NPI number: 1235332834
Entity type: Individual
Primary specialty: Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
Credential: DMD, MD
Sex: Male
Sole proprietor: No
License: MD154906 (OR)

Oral & Maxillofacial Surgery (D.M.D.)Primary204E00000XLicense MD154906 (OR)
Allopathic & Osteopathic Physicians
Oral and Maxillofacial Surgery (Dentist)1223S0112XLicense D9059 (OR)
Dental Providers

3181 Sw Sam Jackson Park Rd

Portland, OR 97239-3011

Phone: (503) 494-8916

Fax: (503) 494-6783

Approximate (ZIP-level) locationGet directions

3181 Sw Sam Jackson Park Rd

Portland, OR 97239-3011

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.