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NPI 1366157497

OrganizationActive

Cascade Oral and Facial Surgery, LLC

NPI 1366157497 · Oral and Maxillofacial Surgery (Dentist) · Lake Oswego, OR

Provider details

NPI number: 1366157497
Entity type: Organization
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Organization subpart: No
Authorized official: Phil Mann, Officer(503) 482-7200

Specialties & taxonomies

Oral and Maxillofacial Surgery (Dentist)Primary1223S0112X
Dental Providers

Practice location

16455 Boones Ferry Rd Ste B

Lake Oswego, OR 97035-4367

Phone: (503) 482-7200

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

16455 Boones Ferry Rd Ste B

Lake Oswego, OR 97035-4367

Other names (DBA / former)

Doing business as: Cascade Oral and Facial Surgery
Doing business as: Cascade Oral and Facial Surgery

Registry dates

Enumerated: 2023-01-23
Last updated: 2024-02-29
Certified: 2024-02-29

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

Cascade Oral and Facial Surgery, LLC — NPI 1366157497, Lake Oswego, OR | NPI Central