Reviance Portland, LLC

NPI #1497474993 in Clackamas, Oregon

Provider Information

NPI Number: 1497474993
Entity Type: Organization
Organization Name: Reviance Portland, LLC
Primary Specialty: Plastic Surgery - Plastic Surgery Within the Head and Neck
Enumeration Date: Aug 26, 2022
Last Updated: Aug 26, 2022

Practice Location

Address: 9280 SE SUNNYBROOK BLVD STE 301
City: Clackamas
State: Oregon
ZIP Code: 97015-9353
Phone: (503) 953-1230

Authorized Official

Name: JAMES CHAN, MD
Title: OWNER
Phone: (503) 953-1230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery - Plastic Surgery Within the Head and Neck — Plastic Surgery Within the Head and Neck	2082S0099X	Primary

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