NPI 1174708457

Tanasbourne Plastic Surgery PC

Organisation Plastic Surgery Physician Portland, OR

Practice location

Address: 11790 SW Barnes Rd STE 120, Portland, OR 97225-5938
Phone: (503) 297-9340
Fax: (503) 200-5499

Authorised official

Name: Janel James
Title: Clinic Administrator
Phone: (503) 297-9340

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence MD22413 (OR)

Other Plastic Surgery providers in Oregon →

Registry record

NPI: 1174708457
Entity type: Organization
NPI issued: 4 Jan 2008
Record last updated: 13 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.