OrganizationActive
Northwest Oral & Maxillofacial Surgeons, LLC
NPI 1629286273 · Oral and Maxillofacial Pathology Dentistry · Gresham, OR
Provider details
- NPI number
- 1629286273
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Authorized official
- Henry Windell, Partner
- License
- D4283 (OR)
Practice location
24850 Se Stark St
Suite 100
Gresham, OR 97030-8316
Phone: (503) 665-7882
Fax: (503) 665-6983
Mailing address
24850 Se Stark St
Gresham, OR 97030-8316
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.