Sampson, Robert Allan

Sampson, Robert Allan is an individual health care provider with primary practice located at 5050 Ne Hoyt St Ste 235, Portland OR 97213-2981. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Sampson, Robert Allan can be contacted via phone (503) 408-1102.

Contact Information

Primary practice address
5050 Ne Hoyt St Ste 235 Portland OR 97213-2981
Fax: (503) 408-1155
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DP00217 Oregon

Profile Details

NPI number 1730160516
LBN Legal business name Sampson, Robert Allan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Apr 3rd, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730160516 NPPES
Oregon MEDICAID 032511
Oregon Other 023834001

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