Tanasbourne Plastic Surgery PC
NPI 1174708457ActiveOrganization· Plastic Surgery· Portland, OR
Plastic Surgery in Portland, Oregon, registered in NPPES in January 2008. The authorized official on file is Janel James, Clinic Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174708457 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 4, 2008 |
| Last updated in NPPES | May 13, 2025 |
| Certified by provider | May 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | MD22413 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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