Individual provider · Type 1 NPI

Samantha S. Self

Student in an Organized Health Care Education/Training Program · Mount Vernon, WA

NPI number 1982423208 Active

Practice location

1420 Roosevelt Ave Ste 2
Mount Vernon, WA 98273-2687

Call (360) 939-1450 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1982423208

Samantha S. Self's National Provider Identifier is 1982423208, issued on Oct 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mount Vernon, WA. The record was last updated on Jun 19, 2026.