Blue Lake Oral and Maxillofacial Surgery, PC
NPI 1316535339 · Oral and Maxillofacial Surgery Clinic/Center · Gresham, OR
Blue Lake Oral and Maxillofacial Surgery, PC is a Oral and Maxillofacial Surgery Clinic/Center organization in Gresham, OR (NPI 1316535339).
Provider details
- NPI number
- 1316535339
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Julie Ann Smith, Oral and Maxillofacial Surgeon(503) 667-1431
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- 2021-01-05
- Last updated
- 2021-01-18
- Certified
- 2021-01-18
Frequently asked questions
- What is Blue Lake Oral and Maxillofacial Surgery, PC's NPI number?
- Blue Lake Oral and Maxillofacial Surgery, PC's National Provider Identifier (NPI) is 1316535339, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Lake Oral and Maxillofacial Surgery, PC?
- Blue Lake Oral and Maxillofacial Surgery, PC is classified in the NPPES registry as Oral and Maxillofacial Surgery Clinic/Center (Ambulatory Health Care Facilities).
- Where is Blue Lake Oral and Maxillofacial Surgery, PC located?
- Blue Lake Oral and Maxillofacial Surgery, PC's practice location on file with NPPES is 1201 Se 223rd Ave Ste 180, Gresham, OR 97030-2577.
- What is Blue Lake Oral and Maxillofacial Surgery, PC's phone number?
- The practice phone number listed in the NPPES registry for Blue Lake Oral and Maxillofacial Surgery, PC is (503) 667-1431.
- Who is the authorized official for Blue Lake Oral and Maxillofacial Surgery, PC?
- The authorized official listed on Blue Lake Oral and Maxillofacial Surgery, PC's NPPES record is Julie Ann Smith, Oral and Maxillofacial Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Lake Oral and Maxillofacial Surgery, PC's NPI active?
- Yes — Blue Lake Oral and Maxillofacial Surgery, PC's NPI (1316535339) is active in the NPPES registry as of the last update on 2021-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.