Samuel, Jonathan

Samuel, Jonathan is an sole proprietor health care provider with primary practice located at 10180 Se Sunnyside Rd , Clackamas OR 97015-8970. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Samuel, Jonathan can be contacted via phone (503) 652-2880.

Contact Information

Primary practice address
10180 Se Sunnyside Rd Clackamas OR 97015-8970
Phone: (503) 652-2880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2007-00921 North Carolina
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 2007-00921 North Carolina

Profile Details

NPI number 1457570723
LBN Legal business name Samuel, Jonathan
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2007
Last updated Oct 10th, 2014 - 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.

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