IndividualActive
Mark Engelstad, MD, DDS
NPI 1437102746 · Oral & Maxillofacial Surgery (D.M.D.) · Portland, OR
Provider details
- NPI number
- 1437102746
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- MD, DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DF0023 (OR)
Practice location
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-8914
Fax: (503) 494-0294
Mailing address
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2017-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.