person
Samantha Jo Santiago, FNP
Primary Care Nurse Practitioner in Portland, Oregon
NPI 1578299772

Samantha Jo Santiago is a Primary Care Nurse Practitioner based in Clackamas, OR and is specialized in Primary Care. Samantha Jo Santiago practices in Portland, OR and has the professional credentials of FNP. The NPI Number for Samantha Jo Santiago is 1578299772 and holds a License No. 201391395RN (Oregon).

The current practice location address for Samantha Jo Santiago is 18000 Se Stark St, Portland, OR and can be reached out via phone at 503-489-0567 and via fax at 503-489-0568.

Location: 18000 Se Stark St, Portland, OR, 97015-3643
person
Provider Profile Details
NPI Number
1578299772
Provider Name
Samantha Jo Santiago
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
18000 Se Stark St, Portland, OR, 97015-3643
Phone Number
503-489-0567
Fax Number
503-489-0568
Provider Enumeration Date
07/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18000 Se Stark St
City
State
Zip
97233-4828
Phone Number
503-489-0567
Fax Number
503-489-0568
person
Provider Business Mailing Address Details
Address
18000 Se Stark St
City
State
Zip
97233-4828
Phone Number
503-489-0567
Fax Number
503-489-0568
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
License No.
202207379NP-PP ()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
201391395RN (Oregon)
Definition
Definition to come...
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