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Organization
CASCADE ORAL AND FACIAL SURGERY, LLC
Active
Organization
CASCADE ORAL AND FACIAL SURGERY, LLC
Active
Other names
Cascade Oral and Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHIL MANN DDS, MD (OFFICER)
(503) 482-7200
Entity
Organization
Contact information
Practice address
16455 BOONES FERRY RD STE B, LAKE OSWEGO, OR 97035-4367
(503) 482-7200
Mailing address
16455 BOONES FERRY RD STE B, LAKE OSWEGO, OR 97035-4367
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
02/29/2024
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