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Oregon Cosmetic and Reconstructive Clinic, PC

NPI 1407177934ActiveOrganization· Plastic Surgery· Milwaukie, OR

Plastic Surgery in Milwaukie, Oregon, registered in NPPES in June 2010. The authorized official on file is Tina Jenq, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1407177934
StatusActive
Entity typeOrganization
NPI issuedJun 18, 2010
Last updated in NPPESSep 22, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Plastic Surgery Primary208200000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (OR)

Medicare sources and data years