IndividualActive
Bryan Clevenger, DDS
NPI 1780065128 · Oral and Maxillofacial Surgery (Dentist) · Tigard, OR
Provider details
- NPI number
- 1780065128
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- D11035 (OR)
Specialties & taxonomies
Dental Providers
Practice location
7095 Sw Gonzaga St
Tigard, OR 97223-8309
Phone: (855) 433-6825
Approximate (ZIP-level) locationGet directions
Mailing address
6950 Ne Campus Way
Hillsboro, OR 97124-5611
Additional practice locations (3)
- 1625 E Mcandrews Rd Ste aMedford, OR 97504Phone: (541) 779-3781Fax: (541) 779-6523
- 1625 E Mcandrews Rd Ste aMedford, OR 97504Phone: (541) 779-3781Fax: (541) 779-6523
- 7703 Floyd Curl DrSan Antonio, TX 78229-3901Phone: (210) 567-7000
Registry dates
- Enumerated
- 2015-06-11
- Last updated
- 2020-09-30
- Certified
- 2020-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.