Loomis, Samantha Jane

Loomis, Samantha Jane is an sole proprietor health care provider with primary practice located at Peacehealth Hospital Medicine 3377 Riverbend Drive, Springfield OR 97477-8803. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Loomis, Samantha Jane can be contacted via phone (541) 222-6389.

Contact Information

Primary practice address
Peacehealth Hospital Medicine 3377 Riverbend Drive Springfield OR 97477-8803
Phone: (541) 222-6389
Fax: (541) 222-6385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201808008NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0990568-NP Colorado
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 201808008NP-PP Oregon

Profile Details

NPI number 1700124021
LBN Legal business name Loomis, Samantha Jane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2013
Last updated Aug 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700124021 NPPES
Colorado MEDICAID 64026302
Colorado MEDICAID 500756799

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