Individual provider · Type 1 NPI

Samantha Marie Raphael, PA-C

Surgical Physician Assistant · Portland, OR

NPI number 1720312184 Active

Practice location

3181 SW Sam Jackson Park Rd, OP31
Portland, OR 97239-3011

Call (503) 494-6400 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA150291 (OR)
Surgical Physician Assistant Primary 363AS0400XPA150291 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1720312184

Samantha Marie Raphael, PA-C's National Provider Identifier is 1720312184, issued on Oct 1, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on May 22, 2024.