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HUMBLE RICHMOND & RUSSELL ORAL & MAXILLOFACIAL SURGERY, LLC
NPI 1902100316
Dentist - Oral and Maxillofacial Surgery in Gresham, OR

Active since December 28, 2010
1201 SE 223RD AVE, SUITE 180, GRESHAM, OR 97030(503) 667-1431(503) 492-0880 Get Directions Write a Review

NPPES record last updated: December 28, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Humble Richmond & Russell Oral & Maxillofacial Surgery, Llc NPPES

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

HUMBLE RICHMOND & RUSSELL ORAL & MAXILLOFACIAL SURGERY, LLC (NPI 1902100316) is a healthcare organization registered as an oral and maxillofacial surgery in Gresham, Oregon and active in the NPI registry since December 2010. The organization lists Denise Olson, Bookkeeper, as its authorized official.

NPPES Registry Identity

NPI1902100316
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameHUMBLE RICHMOND & RUSSELL ORAL & MAXILLOFACIAL SURGERY, LLC
Location Address1201 SE 223RD AVE, SUITE 180Gresham, OR 97030-2574
Mailing Address1201 Se 223rd Ave, Suite 180Gresham, OR 97030-2574 · (503) 667-1431 · Fax (503) 492-0880
Phone(503) 667-1431
Fax(503) 492-0880
Organization SubpartNo
Authorized OfficialDenise OlsonBookkeeper · (503) 667-1431
Enumeration DateDecember 28, 2010
✔ NPI 1902100316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in OR · D6660✔ Licensed in OR · D7053✔ Licensed in OR · D9295
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1201 SE 223RD AVE, Gresham, OR 97030
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

DR. DOUGLAS LEE PARK DDS
Dentist (Pediatric Dentistry)
1201 SE 223RD AVE, SUITE 240
GRESHAM, OR 97030
Multnomah County (503) 666-9800
DR. DANIEL J RIES D.M.D.
Dentist (General Practice)
1201 SE 223RD AVE, SUITE 140
GRESHAM, OR 97030
Multnomah County (503) 665-8116
DR. KEVIN K SHIM D.D.S.
Dentist (General Practice)
1201 SE 223RD AVE, SUITE 260
GRESHAM, OR 97030
Multnomah County (503) 667-1184
CASCADE VISION CENTER INC.
Optometrist
1201 SE 223RD AVE, SUITE 160
GRESHAM, OR 97030
Multnomah County (503) 492-2020
DR. PERRY A. STEVENSON DDS, MS, PC
Dentist (Orthodontics and Dentofacial Orthopedics)
1201 SE 223RD AVE, SUITE 220
GRESHAM, OR 97030
Multnomah County (503) 661-8719
DANIEL J RIES, DMD, PC
Clinic/Center (Dental)
1201 SE 223RD AVE, SUITE 140
GRESHAM, OR 97030
Multnomah County (503) 665-8116

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 Humble Richmond & Russell Oral & Maxillofacial Surgery, LLC's NPI number?

The NPI number for Humble Richmond & Russell Oral & Maxillofacial Surgery, LLC is 1902100316. It was assigned to this organization in the NPPES registry on December 28, 2010.

Where is Humble Richmond & Russell Oral & Maxillofacial Surgery, LLC located?

Humble Richmond & Russell Oral & Maxillofacial Surgery, LLC is located at 1201 SE 223rd Ave Suite 180, Gresham, OR 97030. The listed phone number is (503) 667-1431.

What is Humble Richmond & Russell Oral & Maxillofacial Surgery, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Humble Richmond & Russell Oral & Maxillofacial Surgery, LLC was last updated on December 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.