Individual provider · Type 1 NPI

Samantha Weller

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

NPI number 1093404477 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-8211 Map

Other practice locations

  • 727 W Burnside St, Portland, OR 97209-3514 · (503) 228-4533

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XPG216051 (OR)

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 1093404477

Samantha Weller's National Provider Identifier is 1093404477, issued on May 2, 2023. 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 Jul 25, 2023.