SearchOregonOral and Maxillofacial Surgery (Dentist)

Bryan Clevenger, DDS

NPI 1780065128 · on the registry since 2015 · sole proprietor

Practice

Address
7095 Sw Gonzaga St
Tigard, OR 97223
Phone
(855) 433-6825
Clinicians at this address
13

Additional practice sites

  • 7703 Floyd Curl Dr, San Antonio, TX
  • 1625 E Mcandrews Rd Ste A, Medford, OR
  • 1625 E Mcandrews Rd Ste A, Medford, OR

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon