THREE RIVERS ORAL AND FACIAL SURGERY LLC
NPI 1164265633
Oral & Maxillofacial Surgery in Tualatin, OR

Q: What is Three Rivers Oral And Facial Surgery LLC's specialty?

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

Active since June 13, 2024

6464 SW BORLAND RD STE D3, TUALATIN, OR 97062(503) 692-5654 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Three Rivers Oral And Facial Surgery Llc NPPES

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

THREE RIVERS ORAL AND FACIAL SURGERY LLC (NPI 1164265633) is a healthcare organization registered as an oral & maxillofacial surgery in Tualatin, Oregon and active in the NPI registry since June 2024. The organization lists Daniel Petrisor, Surgeon, as its authorized official.

NPPES Registry Identity

NPI1164265633

Entity TypeOrganization

Primary Taxonomy204E00000X

Legal Business NameTHREE RIVERS ORAL AND FACIAL SURGERY LLC

Location Address6464 SW BORLAND RD STE D3Tualatin, OR 97062-8861

Mailing Address6464 Sw Borland Rd Ste D3Tualatin, OR 97062-8861 · (503) 692-5654

Phone(503) 692-5654

Organization SubpartNo

Authorized OfficialDaniel PetrisorSurgeon · (503) 692-5654

Enumeration DateJune 13, 2024

NPPES CertifiedJune 13, 2024

✔ NPI 1164265633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

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.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X

6464 SW BORLAND RD STE D3, Tualatin, OR 97062

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 2

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

SAM SEOHO BAE M.D., D.D.S.

Oral & Maxillofacial Surgery

6464 SW BORLAND RD STE D3
TUALATIN, OR 97062

Washington County (503) 692-5654

DANIEL PETRISOR DMD MD LLC

Dentist (Oral and Maxillofacial Surgery)

6464 SW BORLAND RD STE D3
TUALATIN, OR 97062

Washington County (214) 316-5743

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 Three Rivers Oral And Facial Surgery LLC's NPI number?

The NPI number for Three Rivers Oral And Facial Surgery LLC is 1164265633. It was assigned to this organization in the NPPES registry on June 13, 2024.

Where is Three Rivers Oral And Facial Surgery LLC located?

Three Rivers Oral And Facial Surgery LLC is located at 6464 SW Borland Rd Ste D3, Tualatin, OR 97062. The listed phone number is (503) 692-5654.

What is Three Rivers Oral And Facial Surgery LLC's specialty?

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

What insurance does Three Rivers Oral And Facial Surgery LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Three Rivers Oral And Facial Surgery LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Three Rivers Oral And Facial Surgery LLC was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.