Individual provider · Type 1 NPI

Samantha Blommel

Registered Nurse · Medford, OR

NPI number 1104789379 Active

Practice location

3225 Hillcrest Park Dr
Medford, OR 97504-7657

Fax (541) 774-5700

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	10028973 (OR)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104789379

Samantha Blommel's National Provider Identifier is 1104789379, issued on Dec 4, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Medford, OR. The record was last updated on Dec 4, 2025.