Cascade Oral and Facial Surgery, LLC
NPI #1366157497 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1366157497
- Entity Type
- Organization
- Organization Name
- Cascade Oral and Facial Surgery, LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Jan 23, 2023
- Last Updated
- Feb 29, 2024
Practice Location
- Address
- 16455 BOONES FERRY RD STE B
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-4367
- Phone
- (503) 482-7200
Authorized Official
- Name
- DR. PHIL MANN, DDS, MD
- Title
- OFFICER
- Phone
- (503) 482-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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