Oregon Cosmetic and Reconstructive Clinic, PC
NPI 1407177934 · Plastic Surgery Physician · Milwaukie, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Oregon Cosmetic and Reconstructive Clinic, PC is a Plastic Surgery Physician organization in Milwaukie, OR (NPI 1407177934).
Provider details
- NPI number
- 1407177934
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tina Jenq, Owner(503) 400-6622
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
16 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
Registry dates
- Enumerated
- 2010-06-18
- Last updated
- 2010-09-22
Frequently asked questions
- What is Oregon Cosmetic and Reconstructive Clinic, PC's NPI number?
- Oregon Cosmetic and Reconstructive Clinic, PC's National Provider Identifier (NPI) is 1407177934, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oregon Cosmetic and Reconstructive Clinic, PC?
- Oregon Cosmetic and Reconstructive Clinic, PC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Oregon Cosmetic and Reconstructive Clinic, PC located?
- Oregon Cosmetic and Reconstructive Clinic, PC's practice location on file with NPPES is 10202 Se 32nd Ave, Milwaukie, OR 97222-3610.
- What is Oregon Cosmetic and Reconstructive Clinic, PC's phone number?
- The practice phone number listed in the NPPES registry for Oregon Cosmetic and Reconstructive Clinic, PC is (503) 400-6622.
- Does Oregon Cosmetic and Reconstructive Clinic, PC accept Medicare?
- Oregon Cosmetic and Reconstructive Clinic, 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 Oregon Cosmetic and Reconstructive Clinic, PC?
- The authorized official listed on Oregon Cosmetic and Reconstructive Clinic, PC's NPPES record is Tina Jenq, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oregon Cosmetic and Reconstructive Clinic, PC's NPI active?
- Yes — Oregon Cosmetic and Reconstructive Clinic, PC's NPI (1407177934) is active in the NPPES registry as of the last update on 2010-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.