HUMBLE RICHMOND & RUSSELL ORAL & MAXILLOFACIAL SURGERY, LLC is an oral and maxillofacial surgery dentist in Gresham, OR. The provider is 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. HUMBLE RICHMOND & RUSSELL ORAL & MAXILLOFACIAL SURGERY, LLC NPI is 1902100316. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
1201 SE 223RD AVE
SUITE 180
GRESHAM, OR
ZIP 97030-574
Phone: (503) 667-1431
Fax: (503) 492-0880
The provider's authorized official is Denise Olson .
The authorized official title is Bookkeeper and has the following contact phone number (503) 667-1431.
The enumeration date for this NPI number is 12/28/2010 and was last updated on 12/28/2010.