Individual provider · Type 1 NPI

Sam Birkemeier

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1073481768 Active

Practice location

1219 SE Lafayette St Ste 100
Portland, OR 97202-3802

Call (503) 765-5733 Map

Mailing address

2014 SE 11th Ave Apt 302
Portland, OR 97214-5494

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073481768

Sam Birkemeier's National Provider Identifier is 1073481768, issued on Oct 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Oct 25, 2025.