Sampson, Jone Elizabeth
Sampson, Jone Elizabeth is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as her primary health care specialty. Sampson, Jone Elizabeth can be contacted via phone (503) 494-5516.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd
Portland OR 97239-3011
Phone: (503) 494-5516
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | MD19185 | Oregon |
Profile Details
NPI number | 1134137664 |
---|---|
LBN Legal business name | Sampson, Jone Elizabeth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 3rd, 2006 |
Last updated | Sep 1st, 2015 - about 10 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 | 1134137664 | NPPES |
Oregon | MEDICAID | 069141 |
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