Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD00043729 | WA |
N | 208600000X | Surgeon | MD00043729 | WA |
Y | 208200000X | Surgeon | MD09424 | OR |
Y | 208600000X | Surgeon | MD09424 | OR |
N | 2086S0129X | Vascular Surgeon | MD00043729 | WA |
N | 2086S0129X | Vascular Surgeon | MD09424 | OR |
NPI | 1093758484 |
---|---|
Provider Name | Truman M Sasaki |
First Address | Portland, OR 97281-3200 |
Second Address | Astoria, OR 97103-3419 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 13/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0188115 | DEPT OF L&I (01) | WA |
1121193 | (05) | WA |
246397 | (05) | OR |
856096000 | REGENCE BC/BS (01) | OR |
C93699 | (02) | OR |
P00245484 | RR MEDICARE (01) | OR |