IndividualActive
Jay Malmquist, DMD
NPI 1275641284 · Oral and Maxillofacial Surgery (Dentist) · Portland, OR
Provider details
- NPI number
- 1275641284
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- D4642 (OR)
Specialties & taxonomies
Dental Providers
Practice location
5415 Sw Westgate Dr
Suite #l-7
Portland, OR 97221-2409
Phone: (503) 292-8824
Fax: (503) 297-7810
Approximate (ZIP-level) locationGet directions
Mailing address
5415 Sw Westgate Dr
Portland, OR 97221-2409
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.