Sanderson, Thomas David

Sanderson, Thomas David is an individual health care provider with primary practice located at 4400 Ne Halsey St Ste 102 , Portland OR 97213-1545. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Sanderson, Thomas David can be contacted via phone (503) 962-1000.

Contact Information

Primary practice address
4400 Ne Halsey St Ste 102 Portland OR 97213-1545
Phone: (503) 962-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 201904282RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201904283NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 201904283NP-PP Oregon

Profile Details

NPI number 1275171316
LBN Legal business name Sanderson, Thomas David
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2019
Last updated Apr 25th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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