# TOWER OCULOFACIAL PLASTIC SURGERY, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tower Plastics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043562325
- **Authorized official:** ROBERT NEILL TOWER M.D. (PRESIDENT)
- **Authorized official phone:** (503) 227-5075

## Contact information

- **Practice address:** 1211 NW GLISAN ST, SUITE 201, PORTLAND, OR 97209-3054
- **Practice address phone:** (503) 227-5075
- **Practice address fax:** (503) 241-2793
- **Mailing address:** 1211 NW GLISAN ST, SUITE 201, PORTLAND, OR 97209-3054
- **Mailing address phone:** (503) 227-5075
- **Mailing address fax:** (503) 241-2793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD24417 | OR | Yes |

## Other

- **Enumeration date:** 10/10/2012
- **Last updated:** 10/10/2012
