IndividualActive
Peter Debbaneh, MD
NPI 1326507625 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Portland, OR
Provider details
- NPI number
- 1326507625
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD219287 (OR)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense MD219287 (OR)
Allopathic & Osteopathic Physicians
Practice location
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-8510
Approximate (ZIP-level) locationGet directions
Mailing address
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Registry dates
- Enumerated
- 2019-03-16
- Last updated
- 2025-07-15
- Certified
- 2025-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.