person
Samuel Moody, PA-C
Medical Physician Assistant in Portland, Oregon
NPI 1710655584

Samuel Moody is a Medical Physician Assistant based in Portland, OR and is specialized in Medical. Samuel Moody practices in Portland, OR and has the professional credentials of PA-C. The NPI Number for Samuel Moody is 1710655584 and holds a License No. PA217671 (Oregon).

The current practice location address for Samuel Moody is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-6596 and via fax at 503-494-4285. You can also correspond with Samuel Moody through the mailing address at 1400 SW 5TH AVE STE 500, PORTLAND, OR - 97201-5537 (mailing address contact number: 866-617-6855).

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97201-5537
person
Provider Profile Details
NPI Number
1710655584
Provider Name
Samuel Moody
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97201-5537
Phone Number
503-494-6596
Fax Number
503-494-4285
Provider Enumeration Date
09/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-6596
Fax Number
503-494-4285
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-6596
Fax Number
503-494-4285
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA217671 (Oregon)
Definition
Definition to come...
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