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FELIX WIYANTO SIM MBBS, BDS
NPI 1104209386
Oral & Maxillofacial Surgery in Portland, OR

Active since July 07, 2015
1015 NW 22ND AVE, PORTLAND, OR 97210(503) 413-4656 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Felix Wiyanto Sim Mbbs, Bds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FELIX WIYANTO SIM MBBS, BDS (NPI 1104209386) is an individual oral & maxillofacial surgery provider in Portland, Oregon, licensed in Oregon (FE172458) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1104209386
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameFELIX WIYANTO SIMCredential: MBBS, BDS
Location Address1015 NW 22ND AVEPortland, OR 97210-3025
Mailing Address5710 Sw Grover CtPortland, OR 97221-1304 · (503) 915-2879
Phone(503) 413-4656
Sole ProprietorNo
Enumeration DateJuly 7, 2015
✔ NPI 1104209386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in OR · FE172458
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
1015 NW 22ND AVE, Portland, OR 97210
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Other Identifiers 1

OtherFE172458OR · Oregon Medical Licence

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TSYRIA SHIANN TANG DO
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7036
MARK A CRISLIP
Internal Medicine (Infectious Disease)
1015 NW 22ND AVE, R200
PORTLAND, OR 97210
Multnomah County (503) 413-8258
COLTON PATRICK BONEY DO
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7711
NICKOLAS ROCKENBACK MD
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7711
CAROLYN N RHETT MD
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7260
BRIAN BATTALIA MD
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 464-9034
DR. JUDITH ANN RAY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-8259
JENELLE LYNN STINSON PHARMD
Pharmacist
1015 NW 22ND AVE
PORTLAND, OR 97210
Multnomah County (503) 413-7008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Felix Sim's NPI number?

The NPI number for Felix Sim is 1104209386. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Felix Sim located?

Felix Sim practices at 1015 NW 22nd Ave, Portland, OR 97210. The listed phone number is (503) 413-4656.

What is Felix Sim's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Felix Sim was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.