TANASBOURNE PLASTIC SURGERY PC
Organization (NPI-2)
Active
Plastic Surgery
Provider Information
- NPI Number
1174708457- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 11790 SW BARNES RD STE 120, PORTLAND, OR, 972255938
- Phone
- (503) 297-9340
- Fax
- (503) 200-5499
Specialties & Taxonomies
Plastic Surgery
Primary License: OR #MD22413