Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THREE RIVERS ORAL AND FACIAL SURGERY LLC
Active
Organization
THREE RIVERS ORAL AND FACIAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL PETRISOR DMD, MD, FACS (SURGEON)
(503) 692-5654
Entity
Organization
Contact information
Practice address
6464 SW BORLAND RD STE D3, TUALATIN, OR 97062-8861
(503) 692-5654
Mailing address
6464 SW BORLAND RD STE D3, TUALATIN, OR 97062-8861
(503) 692-5654
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up