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Individual

THOMAS JANISSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
500 NE MULTNOMAH ST, SUITE 100, PORTLAND, OR 97232-2023

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD15867
OR

Other

Enumeration date
06/06/2007
Last updated
02/04/2022
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