Organization · Type 2 NPI
Reviance Portland, LLC
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · Clackamas, OR
Practice location
9280 SE Sunnybrook Blvd Ste 301
Clackamas, OR 97015-9353
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Primary | 2082S0099X | None listed |
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician: A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery i…
About NPI 1497474993
Reviance Portland, LLC's National Provider Identifier is 1497474993, issued on Aug 26, 2022. The primary taxonomy on file is Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician (2082S0099X), and the practice location is in Clackamas, OR. The record was last updated on Aug 26, 2022.