Individual
EIZABURO SASATOMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6776
(503) 494-6787
Mailing address
3181 SW SAM JACKSON PARK RD # L-471, PORTLAND, OR 97239-3011
(503) 494-6776
(503) 494-6787
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD201884
OR
207ZP0101X
Anatomic Pathology Physician
MD430089
PA
Other
Enumeration date
06/04/2007
Last updated
02/22/2021
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