Individual provider · Type 1 NPI
Samantha Jo Santiago, FNP
Primary Care Nurse Practitioner · Clackamas, OR
NPI number
1578299772
Active
Practice location
9800 SE Sunnyside Rd
Clackamas, OR 97015-9750
Mailing address
500 NE Multnomah St Ste 100
Portland, OR 97232-2031
Other practice locations
- 18000 SE Stark St, Portland, OR 97233-4828 · (503) 489-0567
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 201391395RN (OR) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 202207379NP-PP (OR) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1578299772
Samantha Jo Santiago, FNP's National Provider Identifier is 1578299772, issued on Jul 29, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Clackamas, OR. The record was last updated on Sep 12, 2025.