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

REVIANCE PORTLAND, LLC

Active Organization

REVIANCE PORTLAND, LLC is a Plastic Surgery within the Head & Neck organization located in CLACKAMAS, Oregon. NPI 1497474993 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery within the Head & Neck · CLACKAMAS, OR

Registration Details

NPI Number
1497474993
Provider Type
Organization
NPI Issued
Aug 26, 2022 (3.9830803050902 yrs)
Last Updated
Aug 26, 2022

Practice Information

Address
9280 SE SUNNYBROOK BLVD STE 301
CLACKAMAS, OR, 970159353
Browse OR providers · Browse ZIP 97015
Phone
5039531230
Primary Specialty
Plastic Surgery within the Head & Neck
2082S0099X
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.