OrganizationActive
Humble Richmond & Russell Oral & Maxillofacial Surgery, LLC
NPI 1902100316 · Oral and Maxillofacial Surgery (Dentist) · Gresham, OR
Provider details
- NPI number
- 1902100316
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Denise Olson, Bookkeeper(503) 667-1431
- License
- D7053 (OR)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1201 Se 223rd Ave
Suite 180
Gresham, OR 97030-2574
Phone: (503) 667-1431
Fax: (503) 492-0880
Street-level locationGet directions
Mailing address
1201 Se 223rd Ave
Gresham, OR 97030-2574
Registry dates
- Enumerated
- 2010-12-28
- Last updated
- 2010-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.