Abbott, Samantha Jay
Abbott, Samantha Jay is an individual health care provider with primary practice located at 10330 Se 32Nd Ave Ste 325 , Milwaukie OR 97222-6656. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Abbott, Samantha Jay can be contacted via phone (503) 416-1960.Contact Information
Primary practice address
10330 Se 32Nd Ave Ste 325
Milwaukie OR 97222-6656
Phone: (503) 416-1960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201909196NP-PP | Oregon |
Profile Details
| NPI number | 1043855257 |
|---|---|
| LBN Legal business name | Abbott, Samantha Jay |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2019 |
| Last updated | Mar 30th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043855257 | NPPES |
| Oregon | MEDICAID | 500772549 |
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