OREGON COSMETIC AND RECONSTRUCTIVE CLINIC, PC
NPI 1407177934
Plastic Surgery in Milwaukie, OR

Q: What is Oregon Cosmetic And Reconstructive Clinic, PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since June 18, 2010

10202 SE 32ND AVE, SUITE 702, MILWAUKIE, OR 97222(503) 400-6622(503) 400-6622 Get Directions Write a Review

NPPES record last updated: September 22, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Oregon Cosmetic And Reconstructive Clinic, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OREGON COSMETIC AND RECONSTRUCTIVE CLINIC, PC (NPI 1407177934) is a healthcare organization registered as a plastic surgery in Milwaukie, Oregon and active in the NPI registry since June 2010. The organization lists Tina Jenq, Owner, as its authorized official.

NPPES Registry Identity

NPI1407177934

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameOREGON COSMETIC AND RECONSTRUCTIVE CLINIC, PC

Location Address10202 SE 32ND AVE, SUITE 702Milwaukie, OR 97222-3610

Mailing AddressPo Box 66500, PoPortland, OR 97290-6500 · (503) 657-8663 · Fax (503) 723-3180

Phone(503) 400-6622

Fax(503) 400-6622

Organization SubpartNo

Authorized OfficialTina JenqOwner · (503) 400-6622

Enumeration DateJune 18, 2010

Last NPPES UpdateSeptember 22, 2010

✔ NPI 1407177934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

10202 SE 32ND AVE, Milwaukie, OR 97222

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oregon Cosmetic And Reconstructive Clinic, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Oregon Cosmetic And Reconstructive Clinic, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tina Jenq, MD

Plastic and Reconstructive Surgery

NPI 1730346388

10202 SE 32ND AVE STE 702
Portland, OR 97222

(503) 400-6622

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oregon Cosmetic And Reconstructive Clinic, PC's NPI number?

The NPI number for Oregon Cosmetic And Reconstructive Clinic, PC is 1407177934. It was assigned to this organization in the NPPES registry on June 18, 2010.

Where is Oregon Cosmetic And Reconstructive Clinic, PC located?

Oregon Cosmetic And Reconstructive Clinic, PC is located at 10202 SE 32nd Ave Suite 702, Milwaukie, OR 97222. The listed phone number is (503) 400-6622.

What is Oregon Cosmetic And Reconstructive Clinic, PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Oregon Cosmetic And Reconstructive Clinic, PC enrolled in Medicare?

Yes. Oregon Cosmetic And Reconstructive Clinic, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oregon Cosmetic And Reconstructive Clinic, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Oregon Cosmetic And Reconstructive Clinic, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Oregon Cosmetic And Reconstructive Clinic, PC was last updated on September 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.