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Daniel Petrisor

Oral & Maxillofacial Surgeon

3181 Sw Sam Jackson Park Rd
Portland , Oregon 97239-3011

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Daniel Petrisor

Oral & Maxillofacial Surgeon

3181 Sw Sam Jackson Park Rd
Portland , Oregon 97239-3011

(503) 494-0294

Write a Review Save Call

Daniel Petrisor

Oral & Maxillofacial Surgeon

3181 Sw Sam Jackson Park Rd
Portland , Oregon 97239-3011

(503) 494-0294 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Oral & Maxillofacial Surgeon

Languages spoken

  • English

Location

3181 Sw Sam Jackson Park Rd Portland , Oregon 97239-3011

First Address

  • Daniel Petrisor
  • 3181 Sw Sam Jackson Park Rd
  • Portland, OR
  • Zip : 97239-3011
  • Fax : (503) 494-0294
  • Phone : (503) 494-8914

Second Address

  • Daniel Petrisor
  • 3181 Sw Sam Jackson Park Rd
  • Portland, OR
  • Zip : 97239-3011
  • Fax : (503) 494-0294
  • Phone : (503) 494-8914

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FAQs


Where did Daniel Petrisor attend graduate school?

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Where did Daniel Petrisor do his residency?

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Where did Daniel Petrisor do his fellowship?

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Is Daniel Petrisor board certified?

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What type of doctor is Daniel Petrisor

Oral & Maxillofacial Surgeon

In what state does Daniel Petrisor practice in?

Oregon

Where is Daniel Petrisor ’s practice located?

3181 Sw Sam Jackson Park Rd , Portland, Oregon, 97239-3011

What is Daniel Petrisor ’s gender?

Male

Is Daniel Petrisor a sole practitioner?

No

Is Daniel Petrisor accepting new patients?

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What languages does Daniel Petrisor speak?

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Does Daniel Petrisor accept insurance?

Yes, Daniel Petrisor accepts insurance

Does Daniel Petrisor offers telemedicine?

Daniel Petrisor has not indicated if he offers telemedicine

What is Daniel Petrisor ’s professional license number?

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What is Daniel Petrisor ’s NPI number?

1235332834

Does Daniel Petrisor have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 204E00000X Oral & Maxillofacial Surgeon D9059 OR
Y 204E00000X Oral & Maxillofacial Surgeon MD154906 OR
N 204E00000X Oral & Maxillofacial Surgeon ME16886 FL

National Provider Identifier

NPI 1235332834
Provider Name Daniel Petrisor
First Address Portland, OR 97239-3011
Second Address Portland, OR 97239-3011
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 09/06/2007
Last Update Date 13/10/2014

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
0022923-00 (05) FL
148H9 BCBS FL (01) FL
500651136 (05) OR
500654224 (05) OR
BP1-0026540 INSTITUTIONAL PERMIT (01)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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