PORTLAND PLASTIC SURGERY GROUP, LLC (NPI# 1437573185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437573185 |
| Entity Type | Organization |
| Organization Name | PORTLAND PLASTIC SURGERY GROUP, LLC |
| Practice Address |
1200 Nw Naito Pkwy Ste 310 Portland OR 97209-2829 |
| Practice Telephone | 5032929200 |
| Practice Fax Number | 5032929205 |
| Mailing Telephone | 5032929200 |
| Mailing Fax Number | 5032929205 |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2015-10-13 |
| Authorized Official Name | BILLI JO NOWKA (OFFICE MANAGER) |
| Authorized Official Telephone | 5039283001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | OR | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PORTLAND PLASTIC SURGERY GROUP, LLC | 1200 Nw Naito Pkwy Ste 310, Portland, OR 97209 |
| Street Address |
1200 NW NAITO PKWY STE 310 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811255250 | Richard Sean Mcnally | Plastic Surgery | 5050 Ne Hoyt St Ste 422, Portland, OR 97213 | 2012-04-23 |
| 1710140215 | Shiliang Chang | Plastic Surgery | 3303 Sw Bond Ave Ste 5, Portland, OR 97239-4501 | 2008-07-03 |
| 1770742207 | Christopher Stephen Zarella | Plastic Surgery | 501 N Graham St Ste 300, Portland, OR 97227-2008 | 2008-06-09 |
| 1871623678 | Shane Christopher Kim | Plastic Surgery | 1130 Nw 22nd Ave Ste 420, Portland, OR 97210-2995 | 2007-03-07 |
| 1922160183 | John Sukwoo Lee | Plastic Surgery | 2363 Nw Flanders St, Portland, OR 97210-3409 | 2006-12-14 |
| 1962465138 | Jennifer A Murphy | Plastic Surgery | 3181 Southwest Sam Jackson Park Rd., Ohsu, Portland, OR 97239-3098 | 2006-04-10 |
| 1811968639 | Henry Daniel Zegzula | Plastic Surgery | 1200 Nw Naito Parkway, Suite 310, Portland, OR 97209 | 2006-01-30 |
| 1982698544 | Elizabeth Jean Stone | Plastic Surgery | 646 Nw Culpepper Ter, Portland, OR 97210-3121 | 2005-09-09 |
| 1124446596 | Kai Jun Yang | Plastic Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 | 2014-04-02 |
| 1003258948 | Melissa R Kinder Md, LLC | Plastic Surgery | 5050 Ne Hoyt St, Suite 515, Portland, OR 97213-2991 | 2013-07-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.