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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TANASBOURNE PLASTIC SURGERY PC

Active Organization

TANASBOURNE PLASTIC SURGERY PC is a Plastic Surgery organization located in PORTLAND, Oregon. NPI 1174708457 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery · PORTLAND, OR

Registration Details

NPI Number
1174708457
Provider Type
Organization
NPI Issued
Jan 4, 2008 (18.624176491493 yrs)
Last Updated
May 13, 2025
License
MD22413 (OR)

Practice Information

Address
11790 SW BARNES RD STE 120
PORTLAND, OR, 972255938
Browse OR providers · Browse ZIP 97225
Phone
5032979340
Fax
5032005499
Primary Specialty
Plastic Surgery
208200000X

Other Plastic Surgery Organizations in PORTLAND, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.