Tanasbourne Plastic Surgery PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD22413 Issued in OR

Legal business name

TANASBOURNE PLASTIC SURGERY PC

Practice address

11790 SW Barnes Rd Ste 120
Portland, OR 97225-5938

Phone

(503) 297-9340

Fax

(503) 200-5499

NPI assigned

Jan 4, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janel James

Title

Clinic Administrator

Phone

(503) 297-9340

Specialties & licenses 1

Addresses

Other names 1

• Dr Sheldon R Cober MD Former legal business name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2633/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheldon R Cober, MD

  • Specialist
  • Hillsboro, OR
  • NPI 1649353525

  Plastic Surgery

  Medicare reassignment NPD
• Shane Christopher Kim, MD

  • Plastic Surgery Physician
  • Portland, OR
  • NPI 1871623678
  NPD (past)
• Judith A Richmond, MD

  • Surgery Physician
  • Portland, OR
  • NPI 1336183755
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1174708457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11790 SW BARNES RD STE 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255938",
            "telephone_number": "503-297-9340",
            "fax_number": "503-297-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11790 SW BARNES RD STE 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255938",
            "telephone_number": "503-297-9340",
            "fax_number": "503-200-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANASBOURNE PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "JANEL",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "503-297-9340"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "OR",
            "license": "MD22413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Sheldon R Cober MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kelsey Tanaka, FNP
• Naoko Tanaka, AGACNP
• Saori Tanaka
• Tetsu Jonathan Tanaka
• Sadia Afrin Tanami, MD
• Marcella Tancreti
• Hannah Tandon
• Christine Alice Tandy, LPC
• Priyanka Taneja, DO
• Michele D Taney, PHARMD

• Plastic Surgery Physician in Portland, OR
• Providers in Portland, OR by specialty
• Plastic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.