Tamara Renee Sanderson Dissanayake, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD175860 Issued in OR

Practice address

703 NE Hancock St
Portland, OR 97212-3955

Phone

(503) 230-9875

Fax

(503) 331-3441

NPI assigned

Apr 18, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Tamara Renee Sanderson Professional name

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Indiana University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Native American Rehabilitation Assoc IncGroup PAC ID 2668361585, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Native American Rehabilitation Assoc Inc

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1396734364

  OR

  Medicare reassignment Care Compare group NPD
• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1184786527

  Family Medicine, OR, WA

  Medicare reassignment NPD
• Native American Rehabilitation Assoc Inc

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1023007093
  Care Compare group NPD
• Native American Rehabilitation Assoc Inc

  • Federally Qualified Health Center (FQHC)
  • Gresham, OR
  • NPI 1942747761
  Care Compare group NPD
• Native American Rehabilitation Assoc Inc

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1053691972
  Care Compare group
• Native American Rehabilitation Assoc Inc

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1619106945
  Care Compare group
• Native American Rehabilitation Assoc Inc

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1851380828
  Care Compare group
• Native American Rehabilitation Assoc Inc

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1932190550
  Care Compare group
• Kaiser Foundation Health Plan of the Northwest

  • Clinic/Center
  • Hillsboro, OR
  • NPI 1942718622
  NPD
• Native American Rehabilitation Assoc Inc

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1336274372
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1457771305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SE CARUTHERS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144502",
            "telephone_number": "503-224-1044",
            "fax_number": "971-260-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 NE HANCOCK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123955",
            "telephone_number": "503-230-9875",
            "fax_number": "503-331-3441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12360 E Burnside St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972331042",
            "country_code": "US",
            "telephone_number": "971-279-4800",
            "fax_number": "971-279-2051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERSON DISSANAYAKE",
        "first_name": "TAMARA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61333136",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD175860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500672900",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "SANDERSON",
            "middle_name": "RENEE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kimberly Biggs Sanders, PHYSICIAN ASSISTANT
• Lisa Kendell Sanders, MD
• Mackenzie Sanders, CRM
• Nancy Elizabeth Sanders
• Tamara Patrice Sanders, RN
• Dezirae Michelle Sanderson, RN
• Isabelle Raya Sanderson
• Thomas David Sanderson, AGACNP
• Harpal Amarjeet Singh Sandhu, MD
• Coral Sandler

• All providers in Portland, OR
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.