Tanasbourne Plastic Surgery PC
NPI 1174708457 · Plastic Surgery Physician · Portland, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tanasbourne Plastic Surgery PC is a Plastic Surgery Physician organization in Portland, OR (NPI 1174708457).
Provider details
- NPI number
- 1174708457
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Janel James, Clinic Administrator(503) 297-9340
- License
- MD22413 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Dr Sheldon R Cober MD
Registry dates
- Enumerated
- 2008-01-04
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Frequently asked questions
- What is Tanasbourne Plastic Surgery PC's NPI number?
- Tanasbourne Plastic Surgery PC's National Provider Identifier (NPI) is 1174708457, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tanasbourne Plastic Surgery PC?
- Tanasbourne Plastic Surgery PC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Tanasbourne Plastic Surgery PC located?
- Tanasbourne Plastic Surgery PC's practice location on file with NPPES is 11790 Sw Barnes Rd Ste 120, Portland, OR 97225-5938.
- What is Tanasbourne Plastic Surgery PC's phone number?
- The practice phone number listed in the NPPES registry for Tanasbourne Plastic Surgery PC is (503) 297-9340.
- Does Tanasbourne Plastic Surgery PC accept Medicare?
- Tanasbourne Plastic Surgery PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tanasbourne Plastic Surgery PC?
- The authorized official listed on Tanasbourne Plastic Surgery PC's NPPES record is Janel James, Clinic Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tanasbourne Plastic Surgery PC's NPI active?
- Yes — Tanasbourne Plastic Surgery PC's NPI (1174708457) is active in the NPPES registry as of the last update on 2025-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.