Reviance Portland, LLC

Organization Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · NPI 1497474993

Reviance Portland, LLC is a Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in Clackamas, Oregon. Registered with an NPI since 2022.

In the registry since: 2022

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

9280 SE Sunnybrook Blvd Ste 301
Clackamas, OR 97015-9353
Phone: (503) 953-1230

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician (primary)	Taxonomy 2082S0099X

Record details

NPI number	1497474993
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	James Chan — Owner · (503) 953-1230
NPI enumerated	August 26, 2022
Last updated in NPPES	August 26, 2022
Certification date	August 25, 2022
Mailing address	9280 Se Sunnybrook Blvd Ste 301, Clackamas, OR 97015-9353