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16455 Boones Ferry Rd Ste B, Lake Oswego OR 97035
503-482-7200
Home
About Us
Services
TMJ Disorder (TMD)
Trigeminal Neuropathic Pain
Xerostomia
Burning Mouth Pain or Syndrome
Diagnosis and Management of Oral Mucosal Diseases and Lesions
Oral Appliance for Sleep Apnea
For patients
For referring doctors
Referral Web Form
Referral PDF Form
Imaging Uploader
Contact
Home
About Us
Services
TMJ Disorder (TMD)
Trigeminal Neuropathic Pain
Xerostomia
Burning Mouth Pain or Syndrome
Diagnosis and Management of Oral Mucosal Diseases and Lesions
Oral Appliance for Sleep Apnea
For patients
For referring doctors
Referral Web Form
Referral PDF Form
Imaging Uploader
Contact
schedule a visit
schedule a visit
Home
About Us
Services
TMJ Disorder (TMD)
Trigeminal Neuropathic Pain
Xerostomia
Burning Mouth Pain or Syndrome
Diagnosis and Management of Oral Mucosal Diseases and Lesions
Oral Appliance for Sleep Apnea
For patients
For referring doctors
Referral Web Form
Referral PDF Form
Imaging Uploader
Contact
Home
About Us
Services
TMJ Disorder (TMD)
Trigeminal Neuropathic Pain
Xerostomia
Burning Mouth Pain or Syndrome
Diagnosis and Management of Oral Mucosal Diseases and Lesions
Oral Appliance for Sleep Apnea
For patients
For referring doctors
Referral Web Form
Referral PDF Form
Imaging Uploader
Contact
For referring doctors
Online Referral Form
First Name
Last Name
Date of Birth
Phone number
Email
Referring doctor/office
Phone Number*
Email*
Sending:
Sending:
PA
PANO
CBCT
Chart
Referred for:
Referred
TMJ Disorder
Oral Mucosal Diseases or Lesions
Burning Mouth Pain
Trigeminal Neuropathic pain or Trigeminal Neuralgia
Xerostomia, Sjögren’s syndrome
Oral appliance for sleep apnea
Other
Message
Submit
PDF Referral Form
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