Individual provider · Type 1 NPI

Tamara Renee Sanderson Dissanayake, MD

Family Medicine Physician · Portland, OR

NPI number 1457771305 Active

Practice location

703 NE Hancock St
Portland, OR 97212-3955

Fax (503) 331-3441

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Other practice locations

  • 12360 E Burnside St, Portland, OR 97233-1042 · (971) 279-4800

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XMD61333136 (WA)
Family Medicine Physician Primary 207Q00000XMD175860 (OR)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1457771305

Tamara Renee Sanderson Dissanayake, MD's National Provider Identifier is 1457771305, issued on Apr 18, 2014. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Portland, OR. The record was last updated on Apr 10, 2026.