TAMARA RENEE SANDERSON DISSANAYAKE

PORTLAND, OR
NPI1457771305
Professional NameTAMARA RENEE SANDERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  MD175860)
Additional Taxonomies207Q00000X Family Medicine
(Licence: WA  MD61333136)
Enumeration Date2014-04-18
Last Update Date2024-05-17
Business Address
Dr. TAMARA RENEE SANDERSON DISSANAYAKE MD
703 NE HANCOCK ST
PORTLAND, OR 97212-3955
Phone number: 503-230-9875
Mailing Address
Dr. TAMARA RENEE SANDERSON DISSANAYAKE MD
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-367-9089