Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tom C Deroche, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1407021512

Dr. Tom C Deroche, MD is a Pathology in Portland, Oregon. Graduated from Saint Louis University School of Medicine in 2005, 21 years ago. Practices with The Oregon Clinic, PC, a 352-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
21
Trained at
Saint Louis University School of Medicine
Licensed in
OR
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9701 SW Barnes Rd # LL60
Portland, OR 97225-6772
Phone: (503) 297-8081
Fax: (503) 292-6601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 — (503) 652-2880
  • 13705 Ne Airport Way Ste C, Portland, OR 97230-1048 — (619) 701-8334

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence MD172846 (OR)

Record details

NPI number1407021512
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2008
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing address541 Ne 20th Ave Ste 225, Portland, OR 97232-2895

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice The Oregon Clinic, Pc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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