OrganizationActive
Beaverton Oral Surgeons
NPI 1811121932 · Oral and Maxillofacial Surgery Clinic/Center · Beaverton, OR
Provider details
- NPI number
- 1811121932
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Philip Green, Owner(503) 646-7101
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
3925 Sw 153rd Dr
Suite 100
Beaverton, OR 97006-4166
Phone: (503) 646-7101
Fax: (503) 646-7105
Street-level locationGet directions
Mailing address
3925 Sw 153rd Drive
Beaverton, OR 97006-4168
Registry dates
- Enumerated
- 2009-05-04
- Last updated
- 2009-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.