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Individual

TRUMAN M SASAKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2055 EXCHANGE ST, SUITE 290, ASTORIA, OR 97103-3419
(503) 338-5353
(503) 338-5252
Mailing address
PO BOX 23200, PORTLAND, OR 97281-3200
(800) 261-8373
(503) 968-4660

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD00043729
WA
208600000X
Surgery Physician
Primary
MD09424
OR
2086S0129X
Vascular Surgery Physician
MD00043729
WA
2086S0129X
Vascular Surgery Physician
MD09424
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0188115
DEPT OF L&I
WA
05
1121193
WA
05
246397
OR
01
856096000
REGENCE BC/BS
OR
01
P00245484
RR MEDICARE
OR
Enumeration date
06/13/2006
Last updated
04/13/2012
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