Portland Oral and Facial Surgery

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

PORTLAND ORAL AND FACIAL SURGERY

Practice address

5050 NE Hoyt St Ste 322
Portland, OR 97213-2982

Phone

(503) 230-0322

Fax

(503) 230-0344

NPI assigned

Jan 7, 2026

Organization subpart

No

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

Authorized official

Name

Shannon Gresh

Title

Practice Manager

Phone

(503) 525-3632

Specialties & licenses 1

Addresses

Practitioners 1

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

• Joseph J Radakovich, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Portland, OR
  • NPI 1689698466
  NPD (past)

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1659238038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 NW KEARNEY ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091453",
            "telephone_number": "503-525-3632",
            "fax_number": "971-279-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST STE 322",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132982",
            "telephone_number": "503-230-0322",
            "fax_number": "503-230-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND ORAL AND FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "GRESH",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "503-525-3632"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portland Ocd and Anxiety Center LLC
• Portland Oculoplastics, PC
• Portland of Cascadia LLC (Secora Rehabilitation of Cascadia)
• Portland of Olympus, LLC
• Portland Opportunities Industrialization Center, Inc.
• Portland Ortho Pain & Spine LLC
• Portland Orthodontic Group (Yaillen Orthodontic Group)
• Portland Orthodontic Group, LLC
• Portland Orthopedic Services P.C.
• Portland Orthopedic Surgery Center LLC

• Oral and Maxillofacial Surgery Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.