Beaverton Oral Surgeons

NPI #1811121932 in Beaverton, Oregon

Provider Information

NPI Number
1811121932
Entity Type
Organization
Organization Name
Beaverton Oral Surgeons
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
May 4, 2009
Last Updated
May 4, 2009

Practice Location

Address
3925 SW 153RD DR
Address 2
SUITE 100
State
Oregon
ZIP Code
97006-4166
Phone
(503) 646-7101

Authorized Official

Name
DR. PHILIP PATRICK GREEN, DMD
Title
OWNER
Phone
(503) 646-7101

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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