NPI 1497474993

Reviance Portland, LLC

Organisation Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Clackamas, OR

Practice location

Address: 9280 SE Sunnybrook Blvd STE 301, Clackamas, OR 97015-9353
Phone: (503) 953-1230

Authorised official

Name: James Chan
Title: Owner
Phone: (503) 953-1230

Registered specialties

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2082S0099X

Other Plastic Surgery providers in Oregon →

Registry record

NPI: 1497474993
Entity type: Organization
NPI issued: 26 Aug 2022
Record last updated: 26 Aug 2022

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.