Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Oregon Cosmetic and Reconstructive Clinic, PC

Organization Plastic Surgery Physician · NPI 1407177934

Oregon Cosmetic and Reconstructive Clinic, PC provides Plastic Surgery Physician services in Milwaukie, Oregon. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10202 SE 32nd Ave Ste 702
Milwaukie, OR 97222-3610 Not confirmed with CMS for 16 years — call before visiting
Phone: (503) 400-6622
Fax: (503) 400-6622
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1407177934
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Jenq — Owner · (503) 400-6622
NPI enumeratedJune 18, 2010
Last updated in NPPESSeptember 22, 2010
Mailing addressPo Box 66500, Po, Portland, OR 97290-6500