Barasa, Samson
Barasa, Samson is an individual health care provider with primary practice located at 3377 Riverbend Dr , Springfield OR 97477-8803. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Barasa, Samson can be contacted via phone (541) 222-6389.Contact Information
Primary practice address
3377 Riverbend Dr
Springfield OR 97477-8803
Phone: (541) 222-6389
Fax: (541) 222-6385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD165945 | Oregon |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11015176A | Indiana |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | MD165945 | Oregon |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD165945 | Oregon |
Profile Details
| NPI number | 1780813667 |
|---|---|
| LBN Legal business name | Barasa, Samson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2009 |
| Last updated | Jun 27th, 2023 - about last year |
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 | 1780813667 | NPPES |
| Oregon | MEDICAID | 500672500 |
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