Plastic SurgeryIndex

Tanasbourne Plastic Surgery PC

Plastic surgery practice in Portland, OR

Registered providerLicense # listed (OR)

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Public-record details

Address
11790 Sw Barnes Rd Ste 120, Portland, OR 97225
Phone
(503) 297-9340
Listed under
Practices and organizations
NPI
1174708457
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Plastic Surgery (208200000X)
License number on NPI record
MD22413 (OR)
NPI first issued
Jan 4, 2008
NPI record last updated
May 13, 2025

NPI 1174708457 is active in the federal NPPES registry (CMS); license MD22413 (OR) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-11-08.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Plastic surgery here is the specialty the provider chose when registering for an NPI. It is not board certification and NPPES does not check it. To check board certification, use the American Board of Plastic Surgery's verification tool, and confirm the medical license with the state board.

View NPI 1174708457 in the official registry ↗

Registered specialty is not board certification. Verify the license with the state medical board and board certification with the American Board of Plastic Surgery, and ask whether the facility is accredited and who gives anesthesia.

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