Individual provider · Type 1 NPI
Samantha Larae Feagins
Licensed Practical Nurse · Portland, OR
NPI number
1841845153
Active
Practice location
722 NE 162nd Ave
Portland, OR 97230-5760
Mailing address
424 NE 22nd Ave
Portland, OR 97232-2809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 201906305 (OR) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1841845153
Samantha Larae Feagins's National Provider Identifier is 1841845153, issued on Aug 4, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Portland, OR. The record was last updated on Aug 4, 2019.