is a Oral and Maxillofacial Dental Clinic in Gresham, Oregon. It is located at 24850 Se Stark St Ste 100, Gresham, OR and its contact number is 503-665-7882. The authorized person for is Dr. Russell A Lieblick
who is Owner of the clinic and their contact number is 503-665-7882. The primary license number for is D8342 (Oral and Maxillofacial Surgery) in Oregon. Clinic deals with 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.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
24850 Se Stark St Ste 100, Gresham, Oregon, 97030-8317
Phone:
503-665-7882
Fax:
503-665-6983
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Russell A Lieblick
Position:
Owner
Contact Number:
503-665-7882
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1417385857
NPI Enumeration Date:
22 Oct, 2013
NPI Last Update On:
22 Oct, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
D8342
Oregon
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
24850 Se Stark St Ste 100, Gresham, Oregon
Zip:
97030-8317
Phone Number:
503-665-7882
Fax Number:
503-665-6983
Patients can reach at 24850 Se Stark St Ste 100, Gresham, Oregon or can call to book an appointment on 503-665-7882. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.