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Blue Lake Oral and Maxillofacial Surgery, PC

Oral and Maxillofacial Surgery Clinic/Center in Gresham, OR · enumerated 2021 · authorized official Julie Ann Smith, Oral and Maxillofacial Surgeon.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316535339

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Registry record

Entity type Organization (Type 2)
Legal business name Blue Lake Oral and Maxillofacial Surgery, PC
Practice address 1201 Se 223rd Ave Ste 180, Gresham, OR, 97030
Enumeration date Jan 5, 2021
Last updated in NPPES Jan 18, 2021

Taxonomy & classification

261QS0112X Oral and Maxillofacial Surgery Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Julie Ann Smith
Title Oral and Maxillofacial Surgeon

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Blue Lake Oral and Maxillofacial Surgery, PC?
NPPES lists Julie Ann Smith (Oral and Maxillofacial Surgeon) as the authorized official for this organization.
What is the NPI number for Blue Lake Oral and Maxillofacial Surgery, PC?
The NPI for Blue Lake Oral and Maxillofacial Surgery, PC is 1316535339, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-01-18.