Organization · Type 2 NPI

Tanasbourne Plastic Surgery PC

Plastic Surgery Physician · Portland, OR

NPI number 1174708457 Active

Practice location

11790 SW Barnes Rd Ste 120
Portland, OR 97225-5938

Fax (503) 200-5499

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000XMD22413 (OR)

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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About NPI 1174708457

Tanasbourne Plastic Surgery PC's National Provider Identifier is 1174708457, issued on Jan 4, 2008. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Portland, OR. The record was last updated on May 13, 2025.