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TANASBOURNE PLASTIC SURGERY PC NPI 1174708457


NPI Information

NPI: 1174708457
Provider Name: TANASBOURNE PLASTIC SURGERY PC

Former Legal Business Name: DR SHELDON R COBER MD

Classification: Plastic Surgery - 208200000X
Entity Type: Organization

CLIA Number: 38D2059832

Address:
18650 NW CORNELL RD
STE 324
HILLSBORO, OR
ZIP 97124
Phone: (503) 297-9340
Get Directions

TANASBOURNE PLASTIC SURGERY PC is a plastic surgery in Hillsboro, OR. The provider is 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. TANASBOURNE PLASTIC SURGERY PC NPI is 1174708457. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Dr Sheldon R Cober Md.

The provider's business location address is:

18650 NW CORNELL RD
STE 324
HILLSBORO, OR
ZIP 97124-207
Phone: (503) 297-9340
Fax: (503) 297-5943

The provider's authorized official is Sheldon R Cober .
The authorized official title is President and has the following contact phone number (503) 297-9340.

The CLIA number assigned to this NPI record is 38D2059832 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2008 and was last updated on 6/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic SurgeryMD22413OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1R115804MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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