Dr Tom C Deroche, MD | |
10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | |
(503) 652-2880 | |
Not Available |
Full Name | Dr Tom C Deroche |
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Gender | Male |
Speciality | Pathology |
Experience | 19 Years |
Location | 10180 Se Sunnyside Rd, Clackamas, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407021512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD172846 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1482 |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
---|---|
Dr Tom C Deroche, MD 13705 Ne Airport Way Ste C, Portland, OR 97230-1048 Ph: (503) 652-2880 | Dr Tom C Deroche, MD 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: (503) 652-2880 |
Dr. Karen Gunson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 13309 Se 84th Ave Ste 100, Clackamas, OR 97015 Phone: 971-673-8216 Fax: 971-673-8321 | |
Dr. Larry Victor Lewman, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 13309 Se 84th Ave Ste 100, Clackamas, OR 97015 Phone: 971-673-8218 Fax: 971-673-8321 | |
Dr. Christopher Ray Young, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 13309 Se 84th Ave Ste 100, Clackamas, OR 97015 Phone: 971-673-8220 Fax: 971-673-8321 | |
Dr. Clifford Conrad Nelson, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 13309 Se 84th Ave, Suite 100, Clackamas, OR 97015 Phone: 971-673-8200 | |
Dr. Daniel Wade Davis, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 13309 Se 84th Ave Ste 100, Clackamas, OR 97015 Phone: 971-673-8200 |