Individual
DR. TINA JENQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10202 SE 32ND AVE, STE 702, PORTLAND, OR 97222-3610
(503) 400-6622
(503) 400-6622
Mailing address
5331 SW MACADAM AVE STE 258, PMB 429, PORTLAND, OR 97239-3871
(503) 400-6622
(503) 400-6622
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD28284
OR
208600000X
Surgery Physician
MD28284
OR
Other
Enumeration date
05/21/2008
Last updated
09/14/2010
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