OrganizationActive
Head & Neck Surgical Associates, PC
NPI 1821153941 · Oral & Maxillofacial Surgery (D.M.D.) · Portland, OR
Provider details
- NPI number
- 1821153941
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shannon Gresh, Clinic Operations Manager(503) 224-1371
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Otology & Neurotology Physician207YX0901X
Allopathic & Osteopathic Physicians
Practice location
1849 Nw Kearney St Ste 300
Portland, OR 97209-1453
Phone: (503) 224-1371
Fax: (503) 224-0722
Approximate (ZIP-level) locationGet directions
Mailing address
1849 Nw Kearney St
Portland, OR 97209-1453
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2021-05-21
- Certified
- 2021-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.