NPI 1104029438

Thomas Janisse, MD

Practitioner Anesthesiology Physician Clackamas, OR

Practice location

Address: 10180 SE Sunnyside Rd, Clackamas, OR 97015-8970
Phone: (503) 652-2880
Mailing address: 500 NE Multnomah St Suite 100, Portland, OR 97232-2023

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence MD15867 (OR)

Other Anesthesiology providers in Oregon →

Registry record

NPI: 1104029438
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2007
Record last updated: 4 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.