Individual
JOSEPH SANTO SACAMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1715 E 12TH ST, THE DALLES, OR 97058-3136
(541) 296-2294
Mailing address
1715 E 12TH ST, THE DALLES, OR 97058-3136
(541) 296-2294
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD07748
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
243069
—
OR
01
—
MD00011911
WASHINGTON MEDICAL LICENS
WA
01
—
MD07748
OREGON MEDICAL LICENSE
OR
Enumeration date
05/24/2007
Last updated
10/08/2007
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