Provider Demographics
NPI:1447925698
Name:MG PLASTIC SURGERY P.C.
Entity type:Organization
Organization Name:MG PLASTIC SURGERY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PLASTIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GIGENA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-883-3954
Mailing Address - Street 1:2700 SE STRATUS AVE UNIT 201
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-6256
Mailing Address - Country:US
Mailing Address - Phone:503-435-6398
Mailing Address - Fax:
Practice Address - Street 1:2700 SE STRATUS AVE UNIT 201
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-6256
Practice Address - Country:US
Practice Address - Phone:503-435-6398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty