Organization Active NPI

Jay P Malmquist DMD PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Portland, OR
National Provider Identifier
1043159924
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
JAY P MALMQUIST DMD PC
Practice address
1750 S Harbor Way Ste 100
Portland, OR 97201-5133
Phone
(503) 292-8824
Fax
(503) 297-7810
NPI assigned
Mar 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Preston Malmquist, DMDNPI 1376791715
Title
President
Phone
(503) 292-8824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1750 S Harbor Way Ste 100
Portland, OR 97201-5133

Mailing address

1750 S Harbor Way Ste 100
Portland, OR 97201-5133
Phone (503) 292-8824

National Provider Directory

National Provider Directory

Locations

1750 S Harbor Way
Ste 100
Portland, OR 97201
Phone (503) 418-3700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1043159924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 S HARBOR WAY STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015133",
            "telephone_number": "503-292-8824",
            "fax_number": "503-297-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 S HARBOR WAY STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015133",
            "telephone_number": "503-292-8824",
            "fax_number": "503-297-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY P MALMQUIST DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "MALMQUIST",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PRESTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-292-8824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.