Tanasbourne Plastic Surgery PC

Plastic Surgery Physician · Portland, OR

Organization Active NPI

NPI number 1174708457

Practice location

11790 SW Barnes Rd Ste 120
Portland, OR 97225-5938
Phone
(503) 297-9340
Fax
(503) 200-5499

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NPI record

NPI
1174708457
Entity type
Organization (Type 2)
Enumeration date
January 4, 2008
Last updated
May 13, 2025
Certified
May 13, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Plastic Surgery Physician Primary 208200000X MD22413 OR

Authorized official

Name
Janel James
Title
Clinic Administrator
Phone
(503) 297-9340

Other names

  • Dr Sheldon R Cober MD

About Tanasbourne Plastic Surgery PC

Tanasbourne Plastic Surgery PC is a healthcare organization registered in the NPI registry with the primary taxonomy Plastic Surgery Physician (code 208200000X). The practice location is 11790 SW Barnes Rd Ste 120, Portland, OR 97225-5938. The NPI number 1174708457 was assigned on January 4, 2008 and the record was last updated on May 13, 2025.

Tanasbourne Plastic Surgery PC lists a license in the registry: #MD22413 (OR) for Plastic Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Janel James, Clinic Administrator.

Frequently asked questions

What is the NPI number of Tanasbourne Plastic Surgery PC?

The NPI number is 1174708457.

What is the phone number of Tanasbourne Plastic Surgery PC?

The phone number listed for the practice location is (503) 297-9340.

Where is Tanasbourne Plastic Surgery PC located?

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

What is the taxonomy code for Tanasbourne Plastic Surgery PC?

The primary taxonomy code is 208200000X – Plastic Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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