Phillips, Samara Nova

Phillips, Samara Nova is an sole proprietor health care provider with primary practice located at 1225 Ne 2Nd Ave , Portland OR 97232-2003. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health is her primary health care specialty. Phillips, Samara Nova can be contacted via phone (503) 944-8000.

Contact Information

Primary practice address
1225 Ne 2Nd Ave Portland OR 97232-2003
Phone: (503) 944-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1275228140
LBN Legal business name Phillips, Samara Nova
Credentials OTD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2023
Last updated Dec 6th, 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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