Active NPIIndividual provider

Samantha S Berliss, FNP-C, CNP

Nurse Practitioner, Family in Portland, Oregon

NPI Number1629553151
Practice location
6410 NE Halsey St Ste 300, Portland, OR 97213-4759
Fax
—
Last updated
November 6, 2026

Samantha Summerhays Berliss is a Nurse Practitioner, Family based in Portland, OR. Samantha Summerhays Berliss practices in Portland, OR and has the professional credentials of FNP-C, CNP. The NPI Number for Samantha Summerhays Berliss is 1629553151 and holds a License No. RN2319994 (MA). The current practice location address for Samantha Summerhays Berliss is 6410 NE Halsey St Ste 300, Portland, OR 97213-4759 and can be reached out via phone at 503-215-2273.

Provider Profile Details

NPI Number
1629553151
Provider Name
Samantha Summerhays Berliss
Credential
FNP-C, CNP
Provider Entity Type
Individual
Gender
Female
Address
6410 NE Halsey St Ste 300, Portland, OR 97213-4759
Phone Number
503-215-2273
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
October 1, 2018
Last Update Date
November 6, 2026
Certification Date
November 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
6410 NE Halsey St Ste 300
Portland, OR 97213-4759
State
Oregon
Zip
97213-4759
Phone Number
503-215-2273
Portland, OR 97213Get directions →

Provider Business Mailing Address Details

Address
6410 NE Halsey St Ste 300
Portland, OR 97213-4759
City
Portland
State
OR
Zip
97213-4759
Phone Number
503-215-2273

License Information

License Number (1)
RN2319994
License State (1)
MA
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
202202398NP-PP
License State (2)
OR
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (3)
AP61290966
License State (3)
WA
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samantha S Berliss, FNP-C, CNP?

The NPI number of Samantha S Berliss, FNP-C, CNP is 1629553151. It was assigned on October 1, 2018 and is currently active in the NPPES registry.

What is the specialty of Samantha S Berliss, FNP-C, CNP?

Samantha S Berliss, FNP-C, CNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2319994.

Where does Samantha S Berliss, FNP-C, CNP practice?

The practice location is 6410 NE Halsey St Ste 300, Portland, OR 97213-4759. The office can be reached at 503-215-2273 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629553151 directly on the NPPES registry website.

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